Provider Demographics
NPI:1437405198
Name:ACE HOME HEALTH CARE, LLC
Entity Type:Organization
Organization Name:ACE HOME HEALTH CARE, LLC
Other - Org Name:ACE HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:CLENNON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-929-1148
Mailing Address - Street 1:7017 WALL TRIANA HWY
Mailing Address - Street 2:SUITE C
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35757-7458
Mailing Address - Country:US
Mailing Address - Phone:256-929-1148
Mailing Address - Fax:256-489-8454
Practice Address - Street 1:7017 WALL TRIANA HWY
Practice Address - Street 2:SUITE C
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35757-7458
Practice Address - Country:US
Practice Address - Phone:256-929-1148
Practice Address - Fax:256-489-8454
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-31
Last Update Date:2016-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL01-7176Medicare PIN