Healthcare Provider Details

I. General information

NPI: 1790696532
Provider Name (Legal Business Name): ACE SENIOR CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2026
Last Update Date: 09/12/2026
Certification Date: 09/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3300 N SCOTTSDALE RD APT 5024
SCOTTSDALE AZ
85251-6584
US

IV. Provider business mailing address

3300 N SCOTTSDALE RD APT 5024
SCOTTSDALE AZ
85251-6584
US

V. Phone/Fax

Practice location:
  • Phone: 480-853-0960
  • Fax:
Mailing address:
  • Phone: 480-853-0960
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: KEVIN D EVANGELINOS
Title or Position: CHIEF FINANCIAL OFFICER
Credential: BA
Phone: 559-862-8604