Provider Demographics
NPI:1033419528
Name:ACE HEALTH CARE SERVICES, LLC
Entity Type:Organization
Organization Name:ACE HEALTH CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BENNETT
Authorized Official - Middle Name:GEPAYA
Authorized Official - Last Name:RESURRECCION
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-926-9137
Mailing Address - Street 1:15850 NEW AVE STE 112
Mailing Address - Street 2:
Mailing Address - City:LEMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60439-3680
Mailing Address - Country:US
Mailing Address - Phone:708-926-9137
Mailing Address - Fax:708-377-4238
Practice Address - Street 1:15850 NEW AVE STE 112
Practice Address - Street 2:
Practice Address - City:LEMONT
Practice Address - State:IL
Practice Address - Zip Code:60439-3680
Practice Address - Country:US
Practice Address - Phone:708-926-9137
Practice Address - Fax:708-377-4238
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1011208251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health