Provider Demographics
NPI:1598743205
Name:ACCELERATED HOMECARE SERVICES, INC.
Entity Type:Organization
Organization Name:ACCELERATED HOMECARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:MS
Authorized Official - First Name:ADELINA
Authorized Official - Middle Name:BASTE
Authorized Official - Last Name:MCCAULLEY
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERD NURSE
Authorized Official - Phone:248-866-3877
Mailing Address - Street 1:17520 W 12 MILE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48076-1943
Mailing Address - Country:US
Mailing Address - Phone:248-281-6880
Mailing Address - Fax:248-281-6871
Practice Address - Street 1:17520 W 12 MILE RD STE 100
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48076-1943
Practice Address - Country:US
Practice Address - Phone:248-281-6880
Practice Address - Fax:248-281-6871
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-03
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4814680Medicaid
237557Medicare Oscar/Certification