PROACTIVE HOME CARE LLC
NPI 1063108264
In Home Supportive Care in Shelby Township, MI

Active since April 12, 2023CLIA 23D2294959 · Waiver
52188 VAN DYKE AVE STE 201A, SHELBY TOWNSHIP, MI 48316(586) 991-3139(586) 204-0295 Get Directions Write a Review

NPPES record last updated: April 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Proactive Home Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROACTIVE HOME CARE LLC (NPI 1063108264) is a healthcare organization registered as an in home supportive care in Shelby Township, Michigan and active in the NPI registry since April 2023. The organization holds a CLIA Waiver certificate valid through December 3, 2027 and lists Rabia Khan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1063108264
Entity TypeOrganization
Primary Taxonomy253Z00000X
Legal Business NamePROACTIVE HOME CARE LLC
Location Address52188 VAN DYKE AVE STE 201AShelby Township, MI 48316-3569
Mailing Address1950 S Rochester Rd # 1104Rochester Hills, MI 48307-3534 · (586) 991-3139 · Fax (586) 204-0295
Fax(586) 204-0295
Organization SubpartNo
Authorized OfficialRabia KhanCeo · (586) 785-0622
Enumeration DateApril 12, 2023
Last NPPES UpdateApril 13, 2023
NPPES CertifiedApril 13, 2023
NPI 1063108264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
52188 VAN DYKE AVE STE 201A, Shelby Township, MI 48316

Other Names 1

Doing Business AsProactive Home Care Llc

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2294959

Proactive Hospice Care, LLC · Shelby Township, MI
Active · expires Dec 3, 2027
CLIA Number23D2294959
Laboratory TypeHospice
Certificate Effective DateDecember 4, 2025
Certificate Expiration DateDecember 3, 2027
Laboratory DirectorRabia Khan
Laboratory Phone(586) 991-3139
Laboratory LocationProactive Hospice Care, LLC52188 Van Dyke Suite 201 A, Shelby Township, MI 48316
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Home Health Quality Ratings CMS Care Compare

Quality ratings, patient care measures and outcomes for Proactive Home Health Care Services, LLC (CMS certification number 239353), from CMS Care Compare.

Proactive Home Health Care Services, LLC

Home health agency · Shelby Township, MI
CMS Certification Number239353
Medicare-Certified SinceOctober 30, 2023

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Hospice Care, Community Based
52188 VAN DYKE AVE STE 201A
SHELBY TOWNSHIP, MI 48316

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Proactive Home Care LLC's NPI number?

The NPI number for Proactive Home Care LLC is 1063108264. It was assigned to this organization in the NPPES registry on April 12, 2023.

Where is Proactive Home Care LLC located?

Proactive Home Care LLC is located at 52188 Van Dyke Ave Ste 201A, Shelby Township, MI 48316. The listed phone number is (586) 991-3139.

What is Proactive Home Care LLC's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

Does Proactive Home Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2294959) is associated with this NPI, valid through December 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Proactive Home Care LLC a Medicare-certified home health agency?

Yes. Proactive Home Health Care Services, LLC is a Medicare-certified home health agency, certified since October 30, 2023.

When was this NPI record last updated?

The NPPES record for Proactive Home Care LLC was last updated on April 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.