Organization Active NPI

Ace-Ellent Healthcare Services Incorporated

  • Home Health Agency
  • Stafford, TX
National Provider Identifier
1730108820
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Mar 15, 2021

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

Authorized official

Name
Mrs. Adaku Chinwendu Ejimadu, RNNPI 1316107584
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
192807901MedicaidTX
679747OtherMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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.CCN 679747
Ownership
Proprietary
Certified
Mar 20, 2008
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
45D1062336Ace-Ellent Healthcare Services Inc10701 Corporate Dr Ste 145, Stafford, TX 77477Certificate of waiverDec 11, 2026

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Adaku Chinwendu Ejimadu Individual 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.

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

Verify at the official NPI Registry.