Provider Demographics
NPI:1538679816
Name:ACE HOME HEALTH CARE
Entity Type:Organization
Organization Name:ACE HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:AFCHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-408-6529
Mailing Address - Street 1:13969 GREENDALE DR
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22191-1483
Mailing Address - Country:US
Mailing Address - Phone:571-408-6529
Mailing Address - Fax:703-995-4712
Practice Address - Street 1:13969 GREENDALE DR
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22191-1483
Practice Address - Country:US
Practice Address - Phone:571-408-6529
Practice Address - Fax:703-995-4712
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-02
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health