Provider Demographics
NPI:1356123558
Name:ACE OF CARE HOME HEALTH, LLC
Entity type:Organization
Organization Name:ACE OF CARE HOME HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:FAYE
Authorized Official - Last Name:VINES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:757-761-4030
Mailing Address - Street 1:420 TETON CIR
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23435-3388
Mailing Address - Country:US
Mailing Address - Phone:757-761-4030
Mailing Address - Fax:
Practice Address - Street 1:100 7TH ST STE 104
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23704-4800
Practice Address - Country:US
Practice Address - Phone:757-761-4030
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-20
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No385H00000XRespite Care FacilityRespite Care