Provider Demographics
NPI:1952444853
Name:ACE HOME HEALTH SERVICES CORP
Entity Type:Organization
Organization Name:ACE HOME HEALTH SERVICES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SANTIAGO
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-485-0933
Mailing Address - Street 1:1470 NW 107TH AVE STE 13L
Mailing Address - Street 2:
Mailing Address - City:SWEETWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33172-2735
Mailing Address - Country:US
Mailing Address - Phone:305-485-0933
Mailing Address - Fax:305-485-7705
Practice Address - Street 1:1470 NW 107TH AVE STE 13L
Practice Address - Street 2:
Practice Address - City:SWEETWATER
Practice Address - State:FL
Practice Address - Zip Code:33172-2735
Practice Address - Country:US
Practice Address - Phone:305-485-0933
Practice Address - Fax:305-485-7705
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299991991251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL651177500Medicaid