Accelerated Homecare Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ACCELERATED HOMECARE SERVICES, INC.

Practice address

17520 W 12 Mile Rd Ste 100
Southfield, MI 48076-1943

Phone

(248) 281-6880

Fax

(248) 281-6871

NPI assigned

Jan 3, 2006

Last updated

Oct 12, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Adelina Baste McCaulley, REGISTERD NURSENPI 1407635261

Title

Director of Nursing

Phone

(248) 866-3877

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1598743205. Details of each certification follow.

• CCN 237557 Home health agency · Active · Details

Home health agency certification: CCN 237557

Legal name

ACCELERATED HOMECARE SERVICES, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 18, 2004

Last certification

Dec 2, 2010

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Nov 27, 2003 in MI

Enrollment address

17520 W 12 Mile Rd
Ste 110
Southfield, MI 48076-1902

Listed as

Accelerated Homecare Services, IncCCN 237557 · All quality measures

Overall star rating

2.5 of 5

Ownership

Proprietary

Certified

Dec 18, 2004

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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

CLIA laboratory certificates

Tax ID family

Accelerated Home Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Accelerated Home Care

  • Home Health Agency
  • Port Huron, MI
  • NPI 1093057127
  NPD tax ID

Locations

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.

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.

• Adelina Baste McCaulley, RN

  • Registered Nurse
  • Southfield, MI
  • NPI 1407635261
  NPD Authorized official

Affiliated clinicians 3

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

• Smitha Georgy, NP- BC

  • Family Nurse Practitioner
  • Redford, MI
  • NPI 1356811822

  Home health agency

  Care Compare affiliation
• Michael Won Kyu Lee, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Southfield, MI
  • NPI 1275590523

  Home health agency

  Care Compare affiliation
• Salvador Rojas III, M.D.

  • Hospitalist Physician
  • Shelby Township, MI
  • NPI 1275709446

  Home health agency

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1598743205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17520 W 12 MILE RD STE 100",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480761943",
            "telephone_number": "248-281-6880",
            "fax_number": "248-281-6871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17520 W 12 MILE RD STE 100",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480761943",
            "telephone_number": "248-281-6880",
            "fax_number": "248-281-6871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCELERATED HOMECARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-03",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "MCCAULLEY",
        "authorized_official_first_name": "ADELINA",
        "authorized_official_middle_name": "BASTE",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "248-866-3877",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "REGISTERD NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Southfield, MI
• Providers in Southfield, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.

Verify at the official NPI Registry.