Provider Demographics
NPI:1518236041
Name:ACE HOME HEALTH & HOSPICE CARE LLC
Entity Type:Organization
Organization Name:ACE HOME HEALTH & HOSPICE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:A
Authorized Official - Last Name:CLENNON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-823-8488
Mailing Address - Street 1:110 ARROW PATH
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35806-4715
Mailing Address - Country:US
Mailing Address - Phone:586-823-8488
Mailing Address - Fax:256-489-8454
Practice Address - Street 1:110 ARROW PATH
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35806-4715
Practice Address - Country:US
Practice Address - Phone:586-823-8488
Practice Address - Fax:256-489-8454
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-29
Last Update Date:2011-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL123456251E00000X, 251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL0000000000Medicare NSC