ACI SUPPORT SPECIALISTS, LLC (NPI# 1619332517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619332517 |
| Entity Type | Organization |
| Organization Name | ACI SUPPORT SPECIALISTS, LLC |
| Practice Address |
1408 Silver Valley Dr Knightdale NC 27545-7557 |
| Mailing Address |
8504 Six Forks Rd Suite 101 Raleigh NC 27615-3261 |
| Practice Telephone | 9198612000 |
| Mailing Telephone | 9198612000 |
| Mailing Fax Number | 9198612001 |
| Enumeration Date | 2015-12-18 |
| Last Update Date | 2017-06-13 |
| Authorized Official Name | TIM WADFORD (DIRECTOR) |
| Authorized Official Telephone | 9198612000 |
| Is Organization Subpart | Y |
| Parent Organization Name | ACI SUPPORT SPECIALISTS, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| 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 |
| 1003245119 | Aci Support Specialists, LLC | Community/Behavioral Health | 6573 Bailey Lake Rd, Fayetteville, NC 28304-4722 | 2013-11-08 |
| 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 |
| Street Address |
1408 SILVER VALLEY DR |
| City | KNIGHTDALE |
| State | NC |
| Zip Code | 27545-7557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477948735 | Q1 Clinical Consultants, LLC | Community/Behavioral Health | 1408 Silver Valley Dr, Knightdale, NC 27545 | 2015-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639688526 | Galberth Health | Physical Therapist | 8002 Peachtree Town Ln, Knightdale, NC 27545 | 2017-09-24 |
| 1790215390 | Edward Hoggard Jr. | Counselor | 2013 Ballston Place, Knightdale, NC 27545 | 2017-06-15 |
| 1730635970 | Tara Forsythe | Social Worker | 4006 Peachtree Town Lane, Knightdale, NC 27545 | 2016-08-28 |
| 1134504962 | Maybell Grino | Pharmacist | 7201 Us Highway 64, Knightdale, NC 27545 | 2015-07-22 |
| 1235560772 | Shameka Latoya Davis | Counselor | 7417 Knightdale Blvd Unit 101, Knightdale, NC 27545 | 2013-12-10 |
| 1992135107 | Daniel Ross Conti | Dentist | 1001 Widewaters Parkway, Knightdale, NC 27545 | 2013-11-25 |
| 1255773644 | David D Sanjurjo | Nurse Practitioner | 7201 Us Hwy 64, Knightdale, NC 27545 | 2013-07-25 |
| 1790037133 | Dona D Mayo | Counselor | 502 Mcknight Drive, Better Communities, Knightdale, NC 27545 | 2012-10-09 |
| 1699972257 | Lindsay Horwat | Occupational Therapist | 1010 Emerald Common Drive, Apartment 205, Knightdale, NC 27545 | 2007-06-28 |
| 1073714036 | Sharon Hartzog | Social Worker | 418 Star Ruby Dr, Knightdale, NC 27545 | 2007-05-29 |
| Find all providers in zip 27545 | ||||
| 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 |
|---|---|---|---|---|
| 1922626357 | Tomesha Chimere' Flow | Day Training, Developmentally Disabled Services | 1204 Hadel Pl, Knightdale, NC 27545-7513 | 2020-07-13 |
| 1073929048 | Grandmaz Residential | Day Training, Developmentally Disabled Services | 101 Valley Park Dr, Knightdale, NC 27545-7912 | 2014-07-10 |
| 1982033916 | Your Choise Services, Inc | Day Training, Developmentally Disabled Services | 1035 Bristoe Dr, Apt 102, Knightdale, NC 27545-6459 | 2013-11-12 |
| 1336544246 | Infinite Care Center | Day Training, Developmentally Disabled Services | 815 Laurens Way, Knightdale, NC 27545-7881 | 2014-11-04 |
| 1053741850 | Your Choice Services, Inc. | Day Training, Developmentally Disabled Services | 1035 Bristoe Dr, Apt 107, Knightdale, NC 27545-6459 | 2013-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568060572 | Stand By Me Mhs L.l.s | Day Training, Developmentally Disabled Services | 3221 Loftyview Dr, High Point, NC 27260-2617 | 2020-10-12 |
| 1811508427 | Brian S Coleman | Day Training, Developmentally Disabled Services | 3205 Midvale Dr Apt 107, Wilmington, NC 28412-3800 | 2020-08-17 |
| 1841801255 | Nicholas Mcarthur Bennett | Day Training, Developmentally Disabled Services | 302 C, Greenville, NC 27834 | 2020-08-11 |
| 1710500616 | New Horizon Residential Services L.l.c | Day Training, Developmentally Disabled Services | 11120 Carver Pond Rd, Charlotte, NC 28269-5007 | 2020-05-26 |
| 1366064479 | Evolving Hands Health Care Services | Day Training, Developmentally Disabled Services | 1099 Barrett Cabin Rd, Murfreesboro, NC 27855-9380 | 2020-05-12 |
| 1730718776 | Dedicated Caregivers LLC | Day Training, Developmentally Disabled Services | 2750 E W T Harris Blvd Ste 218, Charlotte, NC 28213-4367 | 2020-04-02 |
| 1417593005 | Ehomecare | Day Training, Developmentally Disabled Services | 18 Palaside Dr Ne, Concord, NC 28025-3026 | 2019-11-19 |
| 1972149565 | All Care | Day Training, Developmentally Disabled Services | 416 Old Charlotte Rd Sw, Concord, NC 28027-6314 | 2019-11-19 |
| 1891356267 | Onas Place | Day Training, Developmentally Disabled Services | 115 W Court St Ste A, Rutherfordton, NC 28139-2820 | 2019-06-25 |
| 1851866768 | Jillian Kime | Day Training, Developmentally Disabled Services | 241 Commerce St Ste A, Greenville, NC 27858-5029 | 2018-10-06 |
| Find all providers with the same taxonomy | ||||
| City | KNIGHTDALE |
| Zip Code | 27545 |
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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.