Provider Demographics
NPI:1427213495
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:CIO/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:S
Authorized Official - Last Name:BARLAAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-621-0020
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 1:283 CRANES ROOST BLVD
Practice Address - Street 2:SUITE 130
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-3437
Practice Address - Country:US
Practice Address - Phone:813-621-0020
Practice Address - Fax:813-621-0022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-18
Last Update Date:2008-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299993195251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health