Healthcare Provider Details

I. General information

NPI: 1043782832
Provider Name (Legal Business Name): ACE HEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2018
Last Update Date: 12/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 HUNTINGTON PLACE DR
ATLANTA GA
30350-1811
US

IV. Provider business mailing address

8 HUNTINGTON PLACE DR
ATLANTA GA
30350-1811
US

V. Phone/Fax

Practice location:
  • Phone: 404-551-0760
  • Fax:
Mailing address:
  • Phone: 404-551-0760
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: AMIEYEOFORI GEORGE
Title or Position: OWNER/CEO
Credential:
Phone: 404-551-0760