Provider Demographics
NPI:1437442878
Name:ACE HOME HEALTH CARE & HOSPICE INC
Entity Type:Organization
Organization Name:ACE HOME HEALTH CARE & HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAVED
Authorized Official - Middle Name:
Authorized Official - Last Name:WAHAB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-933-9012
Mailing Address - Street 1:85 MORAGA WAY STE 100
Mailing Address - Street 2:
Mailing Address - City:ORINDA
Mailing Address - State:CA
Mailing Address - Zip Code:94563-3012
Mailing Address - Country:US
Mailing Address - Phone:925-933-9012
Mailing Address - Fax:925-933-9013
Practice Address - Street 1:85 MORAGA WAY
Practice Address - Street 2:
Practice Address - City:ORINDA
Practice Address - State:CA
Practice Address - Zip Code:94563-3012
Practice Address - Country:US
Practice Address - Phone:925-933-9012
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-18
Last Update Date:2017-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA6593340Medicaid