Provider Demographics
NPI:1316160856
Name:ACE HOSPICE INC.
Entity type:Organization
Organization Name:ACE HOSPICE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:EVELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:323-805-0175
Mailing Address - Street 1:628 N VERMONT AVE STE 4
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90004-2154
Mailing Address - Country:US
Mailing Address - Phone:323-805-0175
Mailing Address - Fax:323-668-2784
Practice Address - Street 1:3885 S DECATUR BLVD STE 2020
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89103-5873
Practice Address - Country:US
Practice Address - Phone:702-362-2290
Practice Address - Fax:702-974-0517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based