Provider Demographics
NPI:1699901058
Name:ACE HOME HEALTH STAFFING, LLC
Entity type:Organization
Organization Name:ACE HOME HEALTH STAFFING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:OBAMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-608-1595
Mailing Address - Street 1:3500 18TH ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20018-2738
Mailing Address - Country:US
Mailing Address - Phone:301-608-1595
Mailing Address - Fax:301-608-1594
Practice Address - Street 1:8605 CAMERON ST
Practice Address - Street 2:SUITE M-2
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-3710
Practice Address - Country:US
Practice Address - Phone:301-608-1595
Practice Address - Fax:301-608-1594
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-29
Last Update Date:2009-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health