Active NPI
Ace-Ellent Healthcare Services Incorporated
- Home Health Agency
- Stafford, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ACE-ELLENT HEALTHCARE SERVICES INCORPORATED
- Practice address
- 10701 Corporate Dr Ste 145
Stafford, TX 77477-4013 - Phone
- (281) 903-7059
- Fax
- (832) 886-4148
- NPI assigned
- Jul 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Adaku Chinwendu Ejimadu, RN
- Title
- Director of Nursing/Adminstrator
- Phone
- (281) 903-7059
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
10701 Corporate Dr Ste 145
Stafford, TX 77477-4013
Mailing address
10701 Corporate Dr Ste 388
Stafford, TX 77477-4034
Phone (281) 903-7059
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 192807901 | Medicaid | TX | |
| 679747 | Other | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090213000155 | TX | Part A Provider - Home Health Agency | 2466517115 | Practice locations: Stafford, TX |
Home health agency certification: CCN 679747
- Legal name
- ACE-ELLENT HEALTHCARE SERVICES INCORPORATED
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Mar 20, 2008
- Last certification
- Oct 29, 2020
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Aug 27, 2008 in TX
- Enrollment address
- 10701 Corporate Dr 145
Stafford, TX 77477-4013
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Ace-Ellent Healthcare Services, Inc.
- Ownership
- Proprietary
- Certified
- Mar 20, 2008
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1062336 | Ace-Ellent Healthcare Services Inc | Certificate of waiver | Dec 11, 2026 |
National Provider Directory
National Provider DirectoryLocations
10701 Corporate Dr
Ste 145
Stafford, TX 77477
Phone (281) 903-7059
10701 Corporate Dr
Ste 388
Stafford, TX 77477
Ownership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Adaku Chinwendu Ejimadu | 5% Or Greater Direct Ownership Interest | Nov 1, 2008 | 100% |
| Corporate Director | Nov 1, 2008 | 100% | |
| W-2 Managing Employee | Mar 28, 2008 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Nurse Practitioner
- Conroe, TX
- NPI 1316107584
5% Or Greater Direct Ownership Interest, Corporate Director, W-2 Managing Employee
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1615766400000",
"number": "1730108820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10701 CORPORATE DR STE 388",
"city": "STAFFORD",
"state": "TX",
"postal_code": "774774034",
"telephone_number": "281-903-7059",
"fax_number": "832-886-4148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10701 CORPORATE DR STE 145",
"city": "STAFFORD",
"state": "TX",
"postal_code": "774774013",
"telephone_number": "281-903-7059",
"fax_number": "832-886-4148"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACE-ELLENT HEALTHCARE SERVICES INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-19",
"last_updated": "2021-03-15",
"certification_date": "2021-03-15",
"status": "A",
"authorized_official_last_name": "EJIMADU",
"authorized_official_first_name": "ADAKU",
"authorized_official_middle_name": "CHINWENDU",
"authorized_official_title_or_position": "DIRECTOR OF NURSING/ADMINSTRATOR",
"authorized_official_telephone_number": "281-903-7059",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "192807901",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "679747",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stafford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.