Provider Demographics
NPI:1144990714
Name:ACCELERATED HOSPICE CARE SERVCIES, INC
Entity type:Organization
Organization Name:ACCELERATED HOSPICE CARE SERVCIES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADELINA
Authorized Official - Middle Name:BASTE
Authorized Official - Last Name:MCCAULLEY
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:248-281-6880
Mailing Address - Street 1:17520 W 12 MILE RD STE 102
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 102
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:2021-09-15
Last Update Date:2021-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based