Provider Demographics
NPI:1083377220
Name:ACE CARE NETWORK
Entity Type:Organization
Organization Name:ACE CARE NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:DEEPIT
Authorized Official - Middle Name:
Authorized Official - Last Name:KALYANKAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-399-4223
Mailing Address - Street 1:8424 E 12 MILE RD STE B1
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48093-2741
Mailing Address - Country:US
Mailing Address - Phone:248-399-4223
Mailing Address - Fax:
Practice Address - Street 1:8424 E 12 MILE RD STE B1
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48093-2741
Practice Address - Country:US
Practice Address - Phone:248-399-4223
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-14
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health