Healthcare Provider Details

I. General information

NPI: 1457266199
Provider Name (Legal Business Name): ACE HOME CARE LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4236 LINDELL BLVD STE 109
SAINT LOUIS MO
63108-2948
US

IV. Provider business mailing address

4236 LINDELL BLVD STE 109
SAINT LOUIS MO
63108-2948
US

V. Phone/Fax

Practice location:
  • Phone: 314-833-5760
  • Fax: 314-833-5762
Mailing address:
  • Phone: 314-833-5760
  • Fax: 314-833-5762

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: SHAMSO JAMA MOHAMED
Title or Position: OWNER
Credential:
Phone: 314-833-5760