Provider Demographics
NPI:1942571351
Name:ACE HOME HEALTHCARE, INC.
Entity Type:Organization
Organization Name:ACE HOME HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:THELMA
Authorized Official - Middle Name:D
Authorized Official - Last Name:GUZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MS, ANP
Authorized Official - Phone:908-851-2700
Mailing Address - Street 1:930 STUYVESANT AVE STE 10
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-6940
Mailing Address - Country:US
Mailing Address - Phone:908-851-2700
Mailing Address - Fax:908-851-0300
Practice Address - Street 1:930 STUYVESANT AVE
Practice Address - Street 2:SUITE 10
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-9427
Practice Address - Country:US
Practice Address - Phone:908-851-2700
Practice Address - Fax:908-851-0300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-17
Last Update Date:2017-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0049900251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJHP0049900OtherNJ DIVISION OF CONSUMER AFFAIRS