Provider Demographics
NPI:1336811033
Name:ACE'S EXCEPTIONAL NEMT
Entity Type:Organization
Organization Name:ACE'S EXCEPTIONAL NEMT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EDDIE
Authorized Official - Middle Name:RALPH
Authorized Official - Last Name:GRIJALVA
Authorized Official - Suffix:
Authorized Official - Credentials:PRIVATE CONTRACTOR
Authorized Official - Phone:661-293-5426
Mailing Address - Street 1:2414 COLTON STREET
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93304
Mailing Address - Country:US
Mailing Address - Phone:661-293-5426
Mailing Address - Fax:
Practice Address - Street 1:1412 17TH ST STE 357
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-5211
Practice Address - Country:US
Practice Address - Phone:661-293-5426
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-30
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)