Organization Active NPI

Ace Home Care Network Inc

  • Home Health Agency
  • Warren, MI
National Provider Identifier
1124176839
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
237414 Issued in MI
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Deepti KalyankarNPI 1154505493
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3460461MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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, IncCCN 237414 · All quality measures
Ownership
Proprietary
Certified
Oct 5, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Debra Parker Individual W-2 Managing EmployeeDirector of Nursing / Administra Jan 16, 2012 25%
Deepti Kalyankar Individual 5% Or Greater Direct Ownership InterestOwner Nov 27, 2015 100%
Corporate Officer Aug 1, 2022
W-2 Managing EmployeeAdministrator 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.

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

Verify at the official NPI Registry.