Active NPI
Accelerated Home Care L.L.C.
- Home Health Agency
- Schaumburg, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 1010702
- Legal business name
- ACCELERATED HOME CARE L.L.C.
- Practice address
- 830 E Higgins Rd
Suite #101
Schaumburg, IL 60173-4797 - Phone
- (847) 258-3630
- Fax
- (847) 378-8439
- NPI assigned
- May 4, 2007
- Last updated
- Nov 2, 2023
- 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
- Willie T Tongson
- Title
- Administrator
- Phone
- (773) 727-4149
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 1010702 | IL | Primary |
Addresses
Primary practice location
830 E Higgins Rd
Suite #101
Schaumburg, IL 60173-4797
Mailing address
830 E Higgins Rd Ste 101
Schaumburg, IL 60173-4792
Phone (847) 258-3630
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14-8012 | Other | CMS CERTIFICATION NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070920000646 | IL | Part A Provider - Home Health Agency | 4385738319 | Practice locations: Schaumburg, IL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1477765436. Details of each certification follow.
Home health agency certification: CCN 148012
- Legal name
- ACCELERATED HOME CARE L.L.C.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Oct 24, 2008
- Last certification
- Sep 11, 2020
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Jul 10, 2006 in IL
- Enrollment address
- 830 E Higgins Rd
Ste 101
Schaumburg, IL 60173-4792
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Accelerated Home Care, LLC
- Overall star rating
- Ownership
- Proprietary
- Certified
- Oct 24, 2008
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D1061465 | Accelerated Home Care L L C | Certificate of waiver | Nov 16, 2026 |
National Provider Directory
National Provider DirectoryLocations
2022 Dempster St
Evanston, IL 60202
Phone (847) 268-4777
828 Davis St
Ste 204
Evanston, IL 60201
Phone (773) 757-8948
830 E Higgins Rd
Ste 101
Schaumburg, IL 60173
Phone (847) 258-3630
Ownership & related parties
All disclosed owners & managing parties 3
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 |
|---|---|---|---|
| Abdul R Siddiq | 5% Or Greater Direct Ownership Interest | Aug 6, 2024 | 40% |
| Corporate Officer | Aug 6, 2024 | 40% | |
| Corporate Director | Aug 6, 2024 | 40% | |
| W-2 Managing Employee | Aug 6, 2024 | ||
| Amtul Atifa | 5% Or Greater Direct Ownership Interest | Aug 6, 2024 | 20% |
| Corporate Officer | Aug 6, 2024 | 20% | |
| Corporate Director | Aug 6, 2024 | 20% | |
| Joshua Gadwala | 5% Or Greater Direct Ownership Interest | Aug 6, 2024 | 40% |
| Corporate Officer | Aug 6, 2024 | 40% | |
| Corporate Director | Aug 6, 2024 | 40% | |
| W-2 Managing Employee | Oct 14, 2022 |
Practitioners & affiliated clinicians
Practitioners 1
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
- Norridge, IL
- NPI 1700916731
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Redwood City, CA
- NPI 1497887038
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698883200000",
"number": "1477765436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 E HIGGINS RD STE 101",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601734792",
"telephone_number": "847-258-3630",
"fax_number": "847-841-3738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 E HIGGINS RD",
"address_2": "SUITE #101",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601734797",
"telephone_number": "847-258-3630",
"fax_number": "847-378-8439"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACCELERATED HOME CARE L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-04",
"last_updated": "2023-11-02",
"certification_date": "2023-11-02",
"status": "A",
"authorized_official_last_name": "TONGSON",
"authorized_official_first_name": "WILLIE",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "773-727-4149"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "IL",
"license": "1010702",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CMS CERTIFICATION NUMBER",
"identifier": "14-8012",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Schaumburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.