Provider Demographics
NPI:1730108820
Name:ACE-ELLENT HEALTHCARE SERVICES INCORPORATED
Entity Type:Organization
Organization Name:ACE-ELLENT HEALTHCARE SERVICES INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING/ADMINSTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ADAKU
Authorized Official - Middle Name:CHINWENDU
Authorized Official - Last Name:EJIMADU
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:281-903-7059
Mailing Address - Street 1:10701 CORPORATE DR STE 388
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-4034
Mailing Address - Country:US
Mailing Address - Phone:281-903-7059
Mailing Address - Fax:832-886-4148
Practice Address - Street 1:10701 CORPORATE DR STE 145
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-4013
Practice Address - Country:US
Practice Address - Phone:281-903-7059
Practice Address - Fax:832-886-4148
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-19
Last Update Date:2021-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX192807901Medicaid
679747OtherMEDICARE PTAN