Healthcare Provider Details
I. General information
NPI: 1528180759
Provider Name (Legal Business Name): ACE MEDICAL SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/06/2007
Last Update Date: 08/15/2024
Certification Date: 08/15/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
90 MADISON ST SUITE 600
WORCESTER MA
01608
US
IV. Provider business mailing address
225 FOXBOROUGH BLVD STE 103
FOXBOROUGH MA
02035-3062
US
V. Phone/Fax
- Phone: 508-792-3800
- Fax: 508-792-3803
- Phone: 508-618-7952
- Fax: 774-215-5708
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WC0400X |
| Taxonomy | Case Management Registered Nurse |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | 7471 |
| License Number State | MA |
VIII. Authorized Official
Name:
SUSAN
R
REDD-GARCELON
Title or Position: VP QUALITY IMPROVEMENT
Credential: RN
Phone: 508-618-7952