Provider Demographics
NPI:1831284223
Name:ACE HOMECARE LLC
Entity Type:Organization
Organization Name:ACE HOMECARE LLC
Other - Org Name:ACE HOMECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CIO/MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:SANGALANG
Authorized Official - Last Name:BARLAAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-918-0611
Mailing Address - Street 1:PO BOX 2261
Mailing Address - Street 2:
Mailing Address - City:MANGO
Mailing Address - State:FL
Mailing Address - Zip Code:33550-2261
Mailing Address - Country:US
Mailing Address - Phone:863-385-7058
Mailing Address - Fax:863-385-7063
Practice Address - Street 1:3042 US 27 SOUTH
Practice Address - Street 2:
Practice Address - City:AVON PARK
Practice Address - State:FL
Practice Address - Zip Code:33825-9761
Practice Address - Country:US
Practice Address - Phone:863-385-7058
Practice Address - Fax:863-385-7063
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ACE HOMECARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-10-03
Last Update Date:2008-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299992183251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL10-8224Medicare ID - Type UnspecifiedPROVIDER NUMBER