Provider Demographics
NPI:1467184473
Name:ACE HOSPICE CARE INC
Entity Type:Organization
Organization Name:ACE HOSPICE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NANETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSARDA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:909-360-8135
Mailing Address - Street 1:820 N MOUNTAIN AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-4163
Mailing Address - Country:US
Mailing Address - Phone:909-360-8135
Mailing Address - Fax:909-360-8146
Practice Address - Street 1:820 N MOUNTAIN AVE STE 105
Practice Address - Street 2:
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-4163
Practice Address - Country:US
Practice Address - Phone:909-360-8135
Practice Address - Fax:909-360-8146
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-28
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based