Ace Nurses/Aides Registry LLC
Organization Active NPI In Home Supportive Care Agency · Conyers, GA
NPI 1922376359 · NPPES record last updated Mar 9, 2023
Key facts
- NPI
- 1922376359
- Entity type
- Organization (NPI type 2)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- License
- 107-R-1014 (GA)
- Legal business name
- ACE NURSES/AIDES REGISTRY LLC
- Practice address
- 355 Tall Oaks Dr SE Unit 205
Conyers, GA 30013-1616 - Phone
- (770) 728-9252
- Fax
- (678) 609-1631
- NPI assigned
- Dec 13, 2011
- Organization subpart
- No
Authorized official
- Name
- Mr. Marius Othello Grimes
- Title
- Owner
- Phone
- (770) 728-9252
National Provider Directory
Locations
355 Tall Oaks Dr SE
Unit 205
Conyers, GA 30013
Phone (770) 728-9252
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 107-R-1014 | GA | |
| Nursing Care Agency | 251J00000X | 107-R-1014 | GA | |
| In Home Supportive Care Agency | 253Z00000X | 107-R-1014 | GA | Yes |
| In Home Supportive Care Agency | 253Z00000X | |||
| Custodial Care Facility | 311Z00000X | 107-R-1014 | GA | |
| Respite Care | 385H00000X | 107-R-1014 | GA |
Addresses
Primary practice location
355 Tall Oaks Dr SE Unit 205
Conyers, GA 30013-1616
Mailing address
25 Mission Pointe LN
Covington, GA 30016-6660
Phone (770) 728-9252
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003146883A | Medicaid | GA |
Other providers in Conyers, GA
- Above and Beyond ABA Ga LLC
- Above Average Professional Services
- Keyana Abram
- Ekinadese Aburime
- Academy for Family Empowerment Services, Inc.
- Active Care Medical Associates of Conyers, LLC
- Adams Behavioral Consulting
- Julianne Adams Birt
- Joseph Adams
- Kendia Adams
All providers in Conyers, GA · In Home Supportive Care Agency in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.