Provider Demographics
NPI:1700128089
Name:ACEMATE HEALTHCARE SERVICES,LLC.
Entity type:Organization
Organization Name:ACEMATE HEALTHCARE SERVICES,LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:O
Authorized Official - Last Name:OYEYEMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-262-7210
Mailing Address - Street 1:1106 N HWY 360
Mailing Address - Street 2:300
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75050-2559
Mailing Address - Country:US
Mailing Address - Phone:817-262-7210
Mailing Address - Fax:
Practice Address - Street 1:1106 N HWY 360
Practice Address - Street 2:300
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75050-2559
Practice Address - Country:US
Practice Address - Phone:817-262-7210
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-25
Last Update Date:2014-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX015758253Z00000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care