Healthcare Provider Details

I. General information

NPI: 1750032850
Provider Name (Legal Business Name): AC CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2022
Last Update Date: 02/10/2022
Certification Date: 02/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 MOUNTS CORNER DR STE 531
FREEHOLD NJ
07728-2558
US

IV. Provider business mailing address

330 MOUNTS CORNER DR STE 531
FREEHOLD NJ
07728-2558
US

V. Phone/Fax

Practice location:
  • Phone: 732-800-6878
  • Fax:
Mailing address:
  • Phone: 732-800-6878
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: XUE YE
Title or Position: MEMBER
Credential:
Phone: 732-800-6878