Healthcare Provider Details

I. General information

NPI: 1639827942
Provider Name (Legal Business Name): ACES OF HOME HEALTH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2022
Last Update Date: 03/15/2022
Certification Date: 03/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

411 E BUSINESS CENTER DR STE 105
MT PROSPECT IL
60056-6040
US

IV. Provider business mailing address

2609 W BELMONT AVE UNIT 202W
CHICAGO IL
60618-5940
US

V. Phone/Fax

Practice location:
  • Phone: 224-848-9837
  • Fax:
Mailing address:
  • Phone: 312-823-3664
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JASON LAWRENCE SIMBAJON
Title or Position: ADMINISTRATOR
Credential:
Phone: 312-823-3664