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NPI Code Detail

MEDICARE: ACE HOME HEALTH PROVIDER INC

MEDICARE: ACE HOME HEALTH PROVIDER INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency1011572IL

General Provider Information

NPI Number : 1215274972
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACE HOME HEALTH PROVIDER INC
Provider Business Mailing Address
First Line : 5901 N CICERO AVE STE G3
Second Line :
City : CHICAGO
State : IL
Zip : 60646-5711
Country : US
Telephone Number : 773-685-6000
Fax Number : 773-770-4754
Provider Business Practice Location Address
First Line : 5901 N CICERO AVE STE G3
Second Line :
City : CHICAGO
State : IL
Zip : 60646-5711
Country : US
Telephone Number : 773-685-6000
Fax Number : 773-770-4754
Authorized Official
Title or Position : PRESIDENT
Name : JOCELYN VARGAS
Credential :
Telephone Number : 773-685-6000
Provider Enumeration Date : 01/14/2013
Last Update Date : 01/14/2013

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Directions to “ACE HOME HEALTH PROVIDER INC ” Practice Location

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