1. Home
  2. Directory
  3. Michigan
  4. Niles
  5. In Home Supportive Care
  6. NPI Profile

MEDICAID HOME SERVICES LLC
NPI 1194600379
In Home Supportive Care in Niles, MI

Active since August 07, 2025
777 BRYANT AVE, NILES, MI 49120(248) 520-5750 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Medicaid Home Services Llc NPPES

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

MEDICAID HOME SERVICES LLC (NPI 1194600379) is a healthcare organization registered as an in home supportive care in Niles, Michigan and active in the NPI registry since August 2025. The organization lists John Patrick Oconnor, President, as its authorized official.

NPPES Registry Identity

NPI1194600379
Entity TypeOrganization
Primary Taxonomy253Z00000X
Legal Business NameMEDICAID HOME SERVICES LLC
Location Address777 BRYANT AVENiles, MI 49120-1592
Mailing Address777 Bryant AveNiles, MI 49120-1592 · (248) 520-5750
Phone(248) 520-5750
Organization SubpartNo
Authorized OfficialJohn Patrick OconnorPresident · (248) 520-5750
Enumeration DateAugust 7, 2025
NPPES CertifiedAugust 7, 2025
✔ NPI 1194600379 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.
777 BRYANT AVE, Niles, MI 49120
Open in Google Maps ↗

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 Medicaid Home Services LLC's NPI number?

The NPI number for Medicaid Home Services LLC is 1194600379. It was assigned to this organization in the NPPES registry on August 7, 2025.

Where is Medicaid Home Services LLC located?

Medicaid Home Services LLC is located at 777 Bryant Ave, Niles, MI 49120. The listed phone number is (248) 520-5750.

What is Medicaid Home Services LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Medicaid Home Services LLC was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.