Healthcare Provider Details

I. General information

NPI: 1235842220
Provider Name (Legal Business Name): ACE HEALTH & HOSPICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2023
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1512 E CARACAS AVE STE 500
HERSHEY PA
17033-1190
US

IV. Provider business mailing address

1512 E CARACAS AVE STE 500
HERSHEY PA
17033-1190
US

V. Phone/Fax

Practice location:
  • Phone: 717-685-1546
  • Fax: 717-658-1549
Mailing address:
  • Phone: 717-685-1546
  • Fax: 717-658-1549

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: SUDARSON GAUTAM
Title or Position: ADMINISTRATOR
Credential: OTR/L
Phone: 717-685-1546