Provider Demographics
NPI:1639827942
Name:ACES OF HOME HEALTH SERVICES INC
Entity Type:Organization
Organization Name:ACES OF HOME HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JASON LAWRENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMBAJON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-823-3664
Mailing Address - Street 1:2609 W BELMONT AVE UNIT 202W
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60618-5940
Mailing Address - Country:US
Mailing Address - Phone:312-823-3664
Mailing Address - Fax:
Practice Address - Street 1:411 E BUSINESS CENTER DR STE 105
Practice Address - Street 2:
Practice Address - City:MT PROSPECT
Practice Address - State:IL
Practice Address - Zip Code:60056-6040
Practice Address - Country:US
Practice Address - Phone:224-848-9837
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-15
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health