Provider Demographics
NPI:1164679114
Name:ACE HOMECARE LLC
Entity Type:Organization
Organization Name:ACE HOMECARE LLC
Other - Org Name:ACE HOMECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER/CIO
Authorized Official - Prefix:
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:
Authorized Official - Last Name:BARLAAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-918-0611
Mailing Address - Street 1:PO BOX 2261
Mailing Address - Street 2:
Mailing Address - City:MANGO
Mailing Address - State:FL
Mailing Address - Zip Code:33550-2261
Mailing Address - Country:US
Mailing Address - Phone:813-621-0020
Mailing Address - Fax:813-621-0022
Practice Address - Street 1:712 53RD AVE E
Practice Address - Street 2:SUITE A
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34203-5827
Practice Address - Country:US
Practice Address - Phone:941-758-8287
Practice Address - Fax:941-758-8267
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ACE HOMECARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-08-21
Last Update Date:2008-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health