Active NPI
Ace Home Care Network Inc
- Home Health Agency
- Warren, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 237414
- Legal business name
- ACE HOME CARE NETWORK INC
- Practice address
- 8424 E 12 Mile Rd Ste B1
Warren, MI 48093-2741 - Phone
- (248) 399-4223
- Fax
- (248) 399-6947
- NPI assigned
- Jan 8, 2007
- Last updated
- Aug 16, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deepti Kalyankar
- Title
- President
- Phone
- (248) 399-4223
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 237414 | MI | Primary |
Addresses
Primary practice location
8424 E 12 Mile Rd Ste B1
Warren, MI 48093-2741
Mailing address
8424 E 12 Mile Rd Ste B1
Warren, MI 48093-2741
Phone (248) 399-4223
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3460461 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100714000875 | MI | Part A Provider - Home Health Agency | 0042342883 | Practice locations: Warren, MI |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1124176839. Details of each certification follow.
Home health agency certification: CCN 237414
- Legal name
- ACE HOME CARE NETWORK INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Oct 5, 1996
- Last certification
- Mar 26, 2021
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Dec 1, 1995 in MI
- Enrollment address
- 8424 E 12 Mile Rd
Ste B5
Warren, MI 48093-2741
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Ace Home Care Network, Inc
- Ownership
- Proprietary
- Certified
- Oct 5, 1996
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
370 E 12 Mile Rd
Ste 203
Madison Heights, MI 48071
Phone (248) 399-4223
8424 E 12 Mile Rd
Ste B1
Warren, MI 48093
Phone (248) 399-4223
8424 E 12 Mile Rd
Ste B5
Warren, MI 48093
Phone (248) 399-4223
Ownership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Debra Parker | W-2 Managing Employee | Jan 16, 2012 | 25% |
| Deepti Kalyankar | 5% Or Greater Direct Ownership Interest | Nov 27, 2015 | 100% |
| Corporate Officer | Aug 1, 2022 | ||
| W-2 Managing Employee | Nov 27, 2015 | 100% |
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Troy, MI
- NPI 1154505493
-
- Occupational Therapist
- Southfield, MI
- NPI 1285093880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660608000000",
"number": "1124176839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8424 E 12 MILE RD STE B1",
"city": "WARREN",
"state": "MI",
"postal_code": "480932741",
"telephone_number": "248-399-4223",
"fax_number": "248-399-6749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8424 E 12 MILE RD STE B1",
"city": "WARREN",
"state": "MI",
"postal_code": "480932741",
"telephone_number": "248-399-4223",
"fax_number": "248-399-6947"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACE HOME CARE NETWORK INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-08",
"last_updated": "2022-08-16",
"certification_date": "2022-08-16",
"status": "A",
"authorized_official_last_name": "KALYANKAR",
"authorized_official_first_name": "DEEPTI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "248-399-4223"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MI",
"license": "237414",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3460461",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.