Provider Demographics
NPI:1811289689
Name:ACE NORTHSHORE HOMECARE INC
Entity type:Organization
Organization Name:ACE NORTHSHORE HOMECARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MITCHELL
Authorized Official - Middle Name:A
Authorized Official - Last Name:ABRAMS
Authorized Official - Suffix:
Authorized Official - Credentials:BS,MBA
Authorized Official - Phone:847-480-5700
Mailing Address - Street 1:900 SKOKIE BLVD
Mailing Address - Street 2:SUITE 126
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-4012
Mailing Address - Country:US
Mailing Address - Phone:847-480-5700
Mailing Address - Fax:847-480-5720
Practice Address - Street 1:900 SKOKIE BLVD
Practice Address - Street 2:SUITE 126
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-4012
Practice Address - Country:US
Practice Address - Phone:847-480-5700
Practice Address - Fax:847-480-5720
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-11
Last Update Date:2015-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2001568253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care