Provider Demographics
NPI:1528180759
Name:ACE MEDICAL SERVICES INC
Entity type:Organization
Organization Name:ACE MEDICAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP QUALITY IMPROVEMENT
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:R
Authorized Official - Last Name:REDD-GARCELON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:508-618-7952
Mailing Address - Street 1:225 FOXBOROUGH BLVD STE 103
Mailing Address - Street 2:
Mailing Address - City:FOXBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:02035-3062
Mailing Address - Country:US
Mailing Address - Phone:508-618-7952
Mailing Address - Fax:774-215-5708
Practice Address - Street 1:90 MADISON ST
Practice Address - Street 2:SUITE 600
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01608
Practice Address - Country:US
Practice Address - Phone:508-792-3800
Practice Address - Fax:508-792-3803
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ADULT DAY HEALTH, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-04-06
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
163WC0400X
MA7471251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No163WC0400XNursing Service ProvidersRegistered NurseCase ManagementGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110085320AMedicaid
CCN22-7514Medicare UPIN