ACI SUPPORT SPECIALISTS, LLC (NPI# 1003245119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003245119 |
| Entity Type | Organization |
| Organization Name | ACI SUPPORT SPECIALISTS, LLC |
| Practice Address |
6573 Bailey Lake Rd Fayetteville NC 28304-4722 |
| Mailing Address |
8504 Six Forks Rd Suite 101 Raleigh NC 27615-3261 |
| Practice Telephone | 9198612000 |
| Mailing Telephone | 9198612000 |
| Mailing Fax Number | 9198612001 |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2017-06-29 |
| Authorized Official Name | TIM WADFORD (DIRECTOR) |
| Authorized Official Telephone | 9198612000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3408221 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750805230 | Aci Support Specialists, LLC | Community/Behavioral Health | 548 Hay River St, Garner, NC 27529-7264 | 2017-07-27 |
| 1467975318 | Aci Support Specialists, LLC | Community/Behavioral Health | 6832 Planting Ct, Raleigh, NC 27610-8705 | 2017-07-24 |
| 1134649601 | Aci Support Specialists, LLC | Community/Behavioral Health | 12367 Honeychurch St, Raleigh, NC 27614-7879 | 2017-06-26 |
| 1316477532 | Aci Support Specialists, LLC | Community/Behavioral Health | 10723 Pendragon Pl, Raleigh, NC 27614-8993 | 2017-06-20 |
| 1679003792 | Aci Support Specialists, LLC | Community/Behavioral Health | 115 Grantham St, Red Springs, NC 28377-1934 | 2017-06-13 |
| 1730618117 | Aci Support Specialists, LLC | Community/Behavioral Health | 607 Cypress St, Roseboro, NC 28382-5530 | 2017-06-08 |
| 1457731721 | Aci Support Specialists, LLC | Case Management | 624 Jackson Way, Nashville, NC 27856-1799 | 2015-06-02 |
| 1750431623 | Aci Support Specialists, LLC | Case Management | 834 Timber Dr, Garner, NC 27529-4850 | 2007-01-11 |
| 1770058323 | Aci Support Specialists, LLC | Community/Behavioral Health | 692 Dowfield Dr, Fayetteville, NC 28311-2068 | 2018-10-10 |
| 1619332517 | Aci Support Specialists, LLC | Case Management | 1408 Silver Valley Dr, Knightdale, NC 27545-7557 | 2015-12-18 |
| Street Address |
6573 BAILEY LAKE RD |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28304-4722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301061 | Coast To Coast Bilingual Counseling | Social Worker | 910 Hope Mills Road, Fayetteville, NC 28304 | 2019-11-20 |
| 1811530561 | Frances L. Hurst | Technician | 6732 Carloway Dr, Fayetteville, NC 28304 | 2019-10-25 |
| 1538717764 | Rose Mary A O'conner | Technician | 3530 Madison Ave, Fayetteville, NC 28304 | 2019-08-30 |
| 1932756087 | Sally Frances Jones | Technician | 2053 Mango Circle, Fayetteville, NC 28304 | 2019-08-23 |
| 1326528803 | Jeneen Yvette Townsend | Counselor | 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 | 2018-08-15 |
| 1780179580 | Ma Cornelia Villavicencio Leano | Nurse Practitioner | 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 | 2018-06-25 |
| 1861986267 | Pediatric After Hours Care of Fayetteville | Pediatrics | 556 Sandhurst Drive, Fayetteville, NC 28304 | 2018-06-19 |
| 1700386133 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 405 Owen Dr Ste 202, Fayetteville, NC 28304 | 2018-02-12 |
| 1003321365 | Valleygate Dental Surgery Center of Fayetteville, LLC | Dentist | 2038 Litho Place, Fayetteville, NC 28304 | 2017-12-08 |
| 1871004663 | The Salt Project | Marriage & Family Therapist | 1611-b Owen Dr., Fayetteville, NC 28304 | 2017-10-19 |
| Find all providers in zip 28304 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619335908 | A Touch of Grace, Inc. | Day Training, Developmentally Disabled Services | 544 Rock Canyon Dr, Fayetteville, NC 28303-3275 | 2016-02-02 |
| 1659745438 | A Touch of Grace Inc | Day Training, Developmentally Disabled Services | 221 Pierron Dr, Fayetteville, NC 28303-2331 | 2015-11-17 |
| 1386026508 | A Touch of Grace Inc | Day Training, Developmentally Disabled Services | 2526 Vestal Ave, Fayetteville, NC 28301-2442 | 2015-06-24 |
| 1700270998 | Kaleo Supports, Inc. | Day Training, Developmentally Disabled Services | 7618 Firethorn Dr, Fayetteville, NC 28311-9215 | 2015-03-25 |
| 1295126480 | A Touch of Grace Inc | Day Training, Developmentally Disabled Services | 227 Pierron Dr, Fayetteville, NC 28303-2331 | 2015-02-10 |
| 1467840520 | A Touch of Grace Inc | Day Training, Developmentally Disabled Services | 6698 Vaughn Rd, Fayetteville, NC 28304-6009 | 2014-12-24 |
| 1114325834 | A Touch of Grace Inc | Day Training, Developmentally Disabled Services | 6512 Kemper Ct, Fayetteville, NC 28303-2326 | 2014-12-11 |
| 1013312446 | The Janice Mae Hawkins Foundation, Inc. | Day Training, Developmentally Disabled Services | 3359 Gables Dr, Fayetteville, NC 28301-7648 | 2014-10-28 |
| 1366845901 | Kaleo Supports, Inc. | Day Training, Developmentally Disabled Services | 6419 Rutherglen Dr, Fayetteville, NC 28304-3928 | 2014-09-26 |
| 1598183105 | New Beginnings of North Carolina, LLC | Day Training, Developmentally Disabled Services | 3717 Florida Drive Ext, Fayetteville, NC 28311-2713 | 2014-04-01 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28304 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.