Provider Demographics
NPI:1396931382
Name:ACE HOMECARE LLC
Entity type:Organization
Organization Name:ACE HOMECARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CIO
Authorized Official - Prefix:MR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:SANGALANG
Authorized Official - Last Name:BARLAAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-621-0020
Mailing Address - Street 1:PO BOX 2261
Mailing Address - Street 2:
Mailing Address - City:MANGO
Mailing Address - State:FL
Mailing Address - Zip Code:33550-2261
Mailing Address - Country:US
Mailing Address - Phone:813-621-0020
Mailing Address - Fax:813-621-0022
Practice Address - Street 1:5268 SUMMERLIN COMMONS WAY
Practice Address - Street 2:UNIT 504
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-2155
Practice Address - Country:US
Practice Address - Phone:239-936-3196
Practice Address - Fax:239-936-7881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-24
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health