Healthcare Provider Details

I. General information

NPI: 1316700792
Provider Name (Legal Business Name): ACE HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2024
Last Update Date: 02/29/2024
Certification Date: 02/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8001 RAINTREE LN STE 213-1022
CHARLOTTE NC
28277-8920
US

IV. Provider business mailing address

8001 RAINTREE LN STE 213-1022
CHARLOTTE NC
28277-8920
US

V. Phone/Fax

Practice location:
  • Phone: 980-422-3697
  • Fax: 888-604-9777
Mailing address:
  • Phone: 980-422-3697
  • Fax: 888-604-9777

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
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 TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code315D00000X
TaxonomyInpatient Hospice
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: CHARLENE M SHERRILL
Title or Position: CFO
Credential:
Phone: 980-422-3697