Healthcare Provider Details

I. General information

NPI: 1598743205
Provider Name (Legal Business Name): ACCELERATED HOMECARE SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2006
Last Update Date: 10/12/2023
Certification Date: 10/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17520 W 12 MILE RD STE 100
SOUTHFIELD MI
48076-1943
US

IV. Provider business mailing address

17520 W 12 MILE RD STE 100
SOUTHFIELD MI
48076-1943
US

V. Phone/Fax

Practice location:
  • Phone: 248-281-6880
  • Fax: 248-281-6871
Mailing address:
  • Phone: 248-281-6880
  • Fax: 248-281-6871

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: MS. ADELINA BASTE MCCAULLEY
Title or Position: DIRECTOR OF NURSING
Credential: REGISTERD NURSE
Phone: 248-866-3877