Healthcare Provider Details
I. General information
NPI: 1437442878
Provider Name (Legal Business Name): ACE HOME HEALTH CARE & HOSPICE INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/18/2011
Last Update Date: 11/29/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
85 MORAGA WAY
ORINDA CA
94563-3012
US
IV. Provider business mailing address
85 MORAGA WAY STE 100
ORINDA CA
94563-3012
US
V. Phone/Fax
- Phone: 925-933-9012
- Fax:
- Phone: 925-933-9012
- Fax: 925-933-9013
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251G00000X |
| Taxonomy | Community Based Hospice Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
JAVED
WAHAB
Title or Position: PRESIDENT
Credential:
Phone: 925-933-9012