Provider Demographics
NPI:1669470233
Name:A.C.E. HOME HEALTH CARE SERVICES INC
Entity Type:Organization
Organization Name:A.C.E. HOME HEALTH CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROBERTA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:MYSELS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:231-937-4514
Mailing Address - Street 1:PO BOX 499
Mailing Address - Street 2:
Mailing Address - City:HOWARD CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49329-0499
Mailing Address - Country:US
Mailing Address - Phone:231-937-4514
Mailing Address - Fax:231-937-7246
Practice Address - Street 1:120 HEMLOCK ST
Practice Address - Street 2:
Practice Address - City:HOWARD CITY
Practice Address - State:MI
Practice Address - Zip Code:49329-8859
Practice Address - Country:US
Practice Address - Phone:231-937-4514
Practice Address - Fax:231-937-7246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-08
Last Update Date:2019-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI237548251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI154724143Medicaid
MI154724143Medicaid