Organization Active NPI

Ace Health Care Services, LLC

  • Home Health Agency
  • Lemont, IL
National Provider Identifier
1033419528
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1011208 Issued in IL
Legal business name
ACE HEALTH CARE SERVICES, LLC
Practice address
15850 New Ave Ste 112
Lemont, IL 60439-3680
Phone
(708) 926-9137
Fax
(708) 377-4238
NPI assigned
Oct 29, 2010
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Bennett Gepaya Resurreccion
Title
Administrator
Phone
(708) 926-9137

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1011208 IL Primary

Addresses

Primary practice location

15850 New Ave Ste 112
Lemont, IL 60439-3680

Mailing address

15850 New Ave Ste 112
Lemont, IL 60439-3680
Phone (708) 926-9137

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110509000370 IL Part A Provider - Home Health Agency 4587840582 Practice locations: Lemont, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033419528. Details of each certification follow.

Home health agency certification: CCN 148274

Legal name
ACE HEALTH CARE SERVICES, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 25, 2011
Last certification
Oct 25, 2011
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jan 5, 2009 in IL
Enrollment address
15850 New Ave
Lemont, IL 60439-3680

Care Compare: Home health agency

Medicare Care Compare
Listed as
Ace Health Care Services, LLCCCN 148274 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Oct 25, 2011
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2017005Ace Health Care Services, LLC15850 New Ave, Lemont, IL 60439Certificate of waiverNov 30, 2026

National Provider Directory

National Provider Directory

Locations

15850 New Ave
Lemont, IL 60439
Phone (630) 257-0550

15850 New Ave
Ste 112
Lemont, IL 60439
Phone (708) 926-9137

3824 147th St
Midlothian, IL 60445
Phone (708) 374-3778

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
William Resurreccion Individual Corporate Director Mar 23, 2011
Bennett Resurreccion Individual 5% Or Greater Direct Ownership Interest Mar 23, 2011 90%
W-2 Managing Employee Mar 23, 2011
Blanca Tirado Individual 5% Or Greater Direct Ownership Interest Mar 29, 2019 10%

Practitioners & affiliated clinicians

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1033419528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15850 NEW AVE STE 112",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604393680",
            "telephone_number": "708-926-9137",
            "fax_number": "708-377-4238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15850 NEW AVE STE 112",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604393680",
            "telephone_number": "708-926-9137",
            "fax_number": "708-377-4238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACE HEALTH CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "RESURRECCION",
        "authorized_official_first_name": "BENNETT",
        "authorized_official_middle_name": "GEPAYA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "708-926-9137",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1011208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lemont, IL

Sources for this page

Verify at the official NPI Registry.