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NPI Code Detail

MEDICARE: ACE PERSONAL CARE LLC

MEDICARE: ACE PERSONAL CARE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1225602683
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACE PERSONAL CARE LLC
Provider Business Mailing Address
First Line : 501 S RANCHO DR STE 33
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-4828
Country : US
Telephone Number : 702-483-6302
Fax Number :
Provider Business Practice Location Address
First Line : 501 S RANCHO DR STE E33
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-4833
Country : US
Telephone Number : 702-483-6302
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : JASMIN ESTRADA
Credential :
Telephone Number : 702-483-6302
Provider Enumeration Date : 05/19/2021
Last Update Date : 06/28/2023

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Directions to “ACE PERSONAL CARE LLC ” Practice Location

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