Provider Demographics
NPI:1922775261
Name:ACE HEALTH & HOSPICE LLC
Entity Type:Organization
Organization Name:ACE HEALTH & HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BHUWAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GAUTAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-685-1546
Mailing Address - Street 1:1512 E CARACAS AVE STE 500
Mailing Address - Street 2:
Mailing Address - City:HERSHEY
Mailing Address - State:PA
Mailing Address - Zip Code:17033-1190
Mailing Address - Country:US
Mailing Address - Phone:717-685-1546
Mailing Address - Fax:717-685-1549
Practice Address - Street 1:1512 E CARACAS AVE STE 500
Practice Address - Street 2:
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033-1190
Practice Address - Country:US
Practice Address - Phone:717-685-1546
Practice Address - Fax:717-685-1549
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-25
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health