Organization Active NPI

Accelerated Home Care L.L.C.

  • Home Health Agency
  • Schaumburg, IL
National Provider Identifier
1477765436
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1010702 Issued in IL
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
14-8012OtherCMS CERTIFICATION NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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, LLCCCN 148012 · All quality measures
Overall star rating
1 of 5
Ownership
Proprietary
Certified
Oct 24, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D1061465Accelerated Home Care L L C830 E Higgins Rd, Ste 101, Schaumburg, IL 60173Certificate of waiverNov 16, 2026

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Abdul R Siddiq Individual 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 Individual 5% Or Greater Direct Ownership Interest Aug 6, 2024 20%
Corporate Officer Aug 6, 2024 20%
Corporate Director Aug 6, 2024 20%
Joshua Gadwala Individual 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.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

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

Verify at the official NPI Registry.