Provider Demographics
NPI:1598910317
Name:ACE CARE, LLC
Entity Type:Organization
Organization Name:ACE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JIANYI
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-237-0120
Mailing Address - Street 1:900 S WASHINGTON ST
Mailing Address - Street 2:STE 303
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22046-4020
Mailing Address - Country:US
Mailing Address - Phone:703-237-0120
Mailing Address - Fax:703-485-2970
Practice Address - Street 1:900 S WASHINGTON ST STE 303
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22046-4034
Practice Address - Country:US
Practice Address - Phone:703-237-0120
Practice Address - Fax:703-485-2970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-20
Last Update Date:2008-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAG11870Medicare UPIN
VA491051Medicare PIN