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INTERSTATE HOME HEALTH, LLC
NPI 1114571692
Home Health in Southfield, MI

Active since August 01, 2019CLIA 23D2179169 · Waiver
27177 LAHSER RD STE 102, SOUTHFIELD, MI 48034(248) 809-2500(248) 809-3777 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 3, 2024, Nov 21, 2019, Nov 6, 2019 and 1 more (4 updates tracked since 2019).

About Interstate Home Health, Llc NPPES

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

INTERSTATE HOME HEALTH, LLC (NPI 1114571692) is a healthcare organization registered as a home health in Southfield, Michigan and active in the NPI registry since August 2019. The organization holds a CLIA Waiver certificate valid through February 17, 2028 and lists Maysarsh Knouna, President, as its authorized official.

NPPES Registry Identity

NPI1114571692
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameINTERSTATE HOME HEALTH, LLC
Location Address27177 LAHSER RD STE 102Southfield, MI 48034-8467
Mailing Address27177 Lahser Rd Ste 102Southfield, MI 48034-8467 · (248) 809-2500 · Fax (248) 809-3777
Phone(248) 809-2500
Fax(248) 809-3777
Organization SubpartNo
Authorized OfficialMaysarsh KnounaPresident · (248) 809-2500
Enumeration DateAugust 1, 2019
Last NPPES UpdateApril 3, 20244 updates tracked since enumeration
NPPES CertifiedApril 3, 2024
✔ NPI 1114571692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
27177 LAHSER RD STE 102, Southfield, MI 48034
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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 23D2179169

Interstate Home Health LLC · Southfield, MI
Active · expires Feb 17, 2028
CLIA Number23D2179169
Laboratory TypeHome Health Agency
Certificate Effective DateFebruary 18, 2026
Certificate Expiration DateFebruary 17, 2028
Laboratory DirectorIrene M. Mendyuk
Laboratory Phone(248) 809-2500
Laboratory LocationInterstate Home Health LLC27177 Lahser Road Suite 102, Southfield, MI 48034
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

INTERSTATE HOME HEALTH LLC
Home Health
27177 LAHSER RD STE 102
SOUTHFIELD, MI 48034
Oakland County (248) 809-2500

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 Interstate Home Health, LLC's NPI number?

The NPI number for Interstate Home Health, LLC is 1114571692. It was assigned to this organization in the NPPES registry on August 1, 2019.

Where is Interstate Home Health, LLC located?

Interstate Home Health, LLC is located at 27177 Lahser Rd Ste 102, Southfield, MI 48034. The listed phone number is (248) 809-2500.

What is Interstate Home Health, LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Interstate Home Health, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2179169) is associated with this NPI, valid through February 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Interstate Home Health, LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Interstate Home Health, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Interstate Home Health, LLC was last updated on April 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.