Aces Home Healthcare Services, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

55008443 Issued in CA

Legal business name

ACES HOME HEALTHCARE SERVICES, INC

Practice address

4959 Palo Verde St Ste 206a-6
Montclair, CA 91763-2342

Phone

(909) 447-4444

Fax

(909) 447-4445

NPI assigned

Feb 6, 2010

Last updated

Feb 6, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Bobbye Lois Williams

Title

Owner

Phone

(909) 447-4444

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063744688. Details of each certification follow.

• CCN 059310 Home health agency · Active · Details

Home health agency certification: CCN 059310

Legal name

ACES HOME HEALTHCARE SERVICES, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 16, 2011

Last certification

Feb 21, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jul 10, 2003 in CA

Enrollment address

4959 Palo Verde St
Ste 102B
Montclair, CA 91763-2339

Listed as

Aces Home Healthcare Services IncCCN 059310 · All quality measures

Overall star rating

1 of 5

Ownership

Proprietary

Certified

Jul 16, 2011

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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

CLIA laboratory certificates

Tax ID family

Aces Home Healthcare Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Aces Home Healthcare Services, Inc.

  • Home Health Agency
  • Arleta, CA
  • NPI 1841407228
  NPD tax ID

Locations

All disclosed owners & managing parties 1

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ingrid Jackson, FNP-C

  • Nurse Practitioner
  • Montclair, CA
  • NPI 1558294421
  NPD

Affiliated clinicians 1

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

• Jack Azad, M.D.

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1841489440

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1265414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265414400000",
    "number": "1063744688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4959 PALO VERDE ST STE 206A-6",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632342",
            "telephone_number": "909-447-4444",
            "fax_number": "909-447-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4959 PALO VERDE ST STE 206A-6",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632342",
            "telephone_number": "909-447-4444",
            "fax_number": "909-447-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACES HOME HEALTHCARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-06",
        "last_updated": "2010-02-06",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BOBBYE",
        "authorized_official_middle_name": "LOIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-447-4444",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "55008443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamal Naser Abdel-Rahman, M.D.
• Nisrin Abdelsamie, FNP
• Above Urgent Care Center
• Christian Accomando
• Accurate Med.Supply & Equip. Inc.
• Claudia Acosta
• Dalila Acosta
• Action Medical Supply and Equipment Inc.
• Therese Adjivon
• Jaquelin Carin Jones Adler

• Home Health Agency in Montclair, CA
• Providers in Montclair, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.