Provider Demographics
NPI:1144490327
Name:ACE HOMECARE LLC
Entity type:Organization
Organization Name:ACE HOMECARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CONTRACTS & COMPLIANCE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ROSANNA
Authorized Official - Middle Name:LALLANA
Authorized Official - Last Name:BURKLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-621-0020
Mailing Address - Street 1:PO BOX 2261
Mailing Address - Street 2:
Mailing Address - City:MANGO
Mailing Address - State:FL
Mailing Address - Zip Code:33550-2261
Mailing Address - Country:US
Mailing Address - Phone:813-621-0020
Mailing Address - Fax:813-621-0022
Practice Address - Street 1:10707 66TH STREET NORTH
Practice Address - Street 2:SUITES B & C
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33782-2353
Practice Address - Country:US
Practice Address - Phone:727-547-2400
Practice Address - Fax:727-547-2433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-04
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health