Ace Health & Hospice LLC
Organization Active NPI Home Health Agency · Hershey, PA
NPI 1922775261 · NPPES record last updated Oct 15, 2025
Key facts
- NPI
- 1922775261
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- ACE HEALTH & HOSPICE LLC
- Practice address
- 1512 E Caracas Ave Ste 500
Hershey, PA 17033-1190 - Phone
- (717) 685-1546
- Fax
- (717) 685-1549
- NPI assigned
- Aug 25, 2021
- Organization subpart
- No
Authorized official
- Name
- Sudarson Gautam, OTR/L
- Title
- Administrator
- Phone
- (717) 685-1546
Corporate family (same tax ID) 2
Practitioners 1
-
Sudarson Gautam, OTR/L
Medicare Care Compare: Home health agency
- Listed as
- Ace Health & Hospice, LLC
- Ownership
- -
- Certified
- Jan 11, 2024
- Medicare certification status
- Active
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Home health agency certification: CCN 398357
- Legal name
- ACE HEALTH & HOSPICE LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jan 11, 2024
- Last certification
- Jan 11, 2024
- Organization structure
- LLC · Proprietary
- Incorporated
- Jan 24, 2021 in PA
- Enrollment address
- 1512 E Caracas Ave
Ste 500
Hershey, PA 17033-1190
All disclosed owners & managing parties 2
| Name | Role | Since | Share |
|---|---|---|---|
| Sudarson Gautam |
5% Or Greater Direct Ownership Interest | Jan 24, 2021 | 50% |
| Corporate Officer |
Jan 24, 2021 | ||
| Corporate Director |
Jan 24, 2021 | ||
| W-2 Managing Employee |
Jan 24, 2021 | ||
| Bhuwan Gautam |
5% Or Greater Direct Ownership Interest | Jan 24, 2021 | 50% |
| Corporate Officer |
Jan 24, 2021 | ||
| Corporate Director |
Jan 24, 2021 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220516001219 | PA | Part a Provider - Home Health Agency | 9436536349 | Practice locations: Hershey, PA |
National Provider Directory
- Tax ID family
- Ace Health Hospice LLC
Locations
1512 E Caracas Ave
Ste 500
Hershey, PA 17033
Phone (717) 685-1546
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
1512 E Caracas Ave Ste 500
Hershey, PA 17033-1190
Mailing address
1512 E Caracas Ave Ste 500
Hershey, PA 17033-1190
Phone (717) 685-1546
Other providers in Hershey, PA
- Alexandra Abruzzo
- Asmaa Abu-Mahfouz
- Mohammad S Abubakar
- Ace Health & Hospice LLC
- Ace Health & Hospice LLC
- Abby Achenbach
- Andreas Nikou Achilleos
- Malcom Acon Laws
- Active Integrated Medical Centers PC
- Amanda Bethany Adair
All providers in Hershey, PA · Home Health Agency in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.