MEDICARE: ACE HOME CARE CHICAGO INC.

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
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1235018805
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACE HOME CARE CHICAGO INC.

Provider Business Mailing Address
First Line	:	2111 121ST ST
Second Line	:
City	:	BLUE ISLAND
State	:	IL
Zip	:	60406-1201
Country	:	US
Telephone Number	:	773-499-4062
Fax Number	:

Provider Business Practice Location Address
First Line	:	4731 MIDLOTHIAN TPKE STE 32
Second Line	:
City	:	CRESTWOOD
State	:	IL
Zip	:	60418-1990
Country	:	US
Telephone Number	:	773-332-9568
Fax Number	:

Authorized Official
Title or Position	:	OWNER/AGENCY MANAGER
Name	:	MR. KRISTEN SARDIN
Credential	:
Telephone Number	:	773-499-4062

Provider Enumeration Date	:	08/28/2025
Last Update Date	:	08/28/2025

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