Provider Demographics
NPI:1578827705
Name:ACE PERSONAL HEALTHCARE SERVICES LLC
Entity Type:Organization
Organization Name:ACE PERSONAL HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTATOR
Authorized Official - Prefix:
Authorized Official - First Name:EVELYN
Authorized Official - Middle Name:B
Authorized Official - Last Name:FILIPINAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-308-5474
Mailing Address - Street 1:534 N HAMILTON ST
Mailing Address - Street 2:
Mailing Address - City:CHURCH POINT
Mailing Address - State:LA
Mailing Address - Zip Code:70525-2025
Mailing Address - Country:US
Mailing Address - Phone:337-684-1442
Mailing Address - Fax:337-684-1442
Practice Address - Street 1:534 N HAMILTON ST
Practice Address - Street 2:
Practice Address - City:CHURCH POINT
Practice Address - State:LA
Practice Address - Zip Code:70525-2025
Practice Address - Country:US
Practice Address - Phone:337-684-1442
Practice Address - Fax:337-684-1442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-03
Last Update Date:2012-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA14048253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1024562Medicaid
LA1186571Medicaid