ACI SUPPORT SPECIALISTS, INC. (NPI# 1619374311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619374311 |
| Entity Type | Organization |
| Organization Name | ACI SUPPORT SPECIALISTS, INC. |
| Practice Address |
2040 Wilmington Hwy Suite A Jacksonville NC 28540-3121 |
| Mailing Address |
8504 Six Forks Rd Suite 101 Raleigh NC 27615-3261 |
| Practice Telephone | 9102191066 |
| Practice Fax Number | 9102191067 |
| Mailing Telephone | 9198612000 |
| Mailing Fax Number | 9198612001 |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2015-09-23 |
| Authorized Official Name | TIM WADFORD (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 9198612000 |
| Is Organization Subpart | Y |
| Parent Organization Name | ACI SUPPORT SPECIALISTS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 253J00000X | Foster Care Agency | Agencies | ||
| N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| N | 251B00000X | Case Management | Agencies | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3408221 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982154274 | Aci Support Specialists, Inc. | Case Management | 4040 Echo Farms Blvd, Wilmington, NC 28412-7384 | 2016-10-11 |
| 1265897169 | Aci Support Specialists, Inc. | Case Management | 3305 Sunbright Ln, Raleigh, NC 27610-6434 | 2015-12-18 |
| 1821461880 | Aci Support Specialists, Inc. | Case Management | 1232 Penselwood Dr, Raleigh, NC 27604-9690 | 2015-11-12 |
| 1073999538 | Aci Support Specialists, Inc. | Case Management | 257 Kenwood Dr, Fayetteville, NC 28311-0833 | 2015-08-07 |
| 1447639166 | Aci Support Specialists, Inc. | Community/Behavioral Health | 4342 Pearl Rd, Raleigh, NC 27610-6114 | 2015-05-27 |
| 1174920870 | Aci Support Specialists, Inc. | Foster Care Agency | 1723 S Glenburnie Rd, New Bern, NC 28562-5208 | 2014-11-24 |
| 1093141699 | Aci Support Specialists, Inc. | Day Training, Developmentally Disabled Services | 922 Bryan Pl # A, Apt A5, Garner, NC 27529-3063 | 2013-09-16 |
| 1750720546 | Aci Support Specialists, Inc. | Case Management | 1015 Ashes Dr, Suite 107, Wilmington, NC 28405-8353 | 2013-06-14 |
| 1568801355 | Aci Support Specialists, Inc. | Case Management | 342 Wagoner Dr, Suite 107, Fayetteville, NC 28303-4686 | 2013-06-14 |
| 1184063976 | Aci Support Specialists, Inc. | Case Management | 407 S Griffin St, Ste J, Elizabeth City, NC 27909-4693 | 2013-06-14 |
| Street Address |
2040 WILMINGTON HWY SUITE A |
| City | JACKSONVILLE |
| State | NC |
| Zip Code | 28540-3121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568869766 | Tactical Rehabilitation Inc | Durable Medical Equipment & Medical Supplies | 2040 Wilmington Hwy, Suite 3, Jacksonville, NC 28540-3121 | 2014-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467067785 | Knox Counseling and Consulting, PC | Case Management | 513 New Bridge St-suite 500, Jacksonville, NC 28540 | 2020-09-14 |
| 1629696646 | Mary Ann Caldwell | Counselor | 2496 Northwoods Dr., Jacksonville, NC 28540 | 2020-07-07 |
| 1639793748 | Johnathon T Brewer | Military Health Care Provider | 100 White St, Jacksonville, NC 28540 | 2020-06-04 |
| 1043782899 | Brice Rivra | Military Health Care Provider | Rr 612 Loop Road, Jacsksonvile, NC 28540 | 2018-12-18 |
| 1649768599 | Alexander John Pybus | Student in an Organized Health Care Education/Training Program | White St Bldg As-100, Jacksonville, NC 28540 | 2018-04-26 |
| 1881198182 | Orleiquis Guerra | Military Health Care Provider | Marine Corps Air Station New River Bldg As-100, Jacksonville, NC 28540 | 2018-03-21 |
| 1558864736 | Andrew Louis Monroe | General Practice | As-100 White Street, Jacksonville, NC 28540 | 2018-03-14 |
| 1588183198 | Citizen Community Transport, LLC | Private Vehicle | 220 Foxwood Ct., Jacksonville, NC 28540 | 2017-09-14 |
| 1558886242 | Brandon Jay Smith | Military Health Care Provider | E Street Bldg G770, Camp Lejeune, NC 28540 | 2017-08-03 |
| 1174043244 | Jason Waters | Military Health Care Provider | White St, Bldg As-100, Jacksonville, NC 28540 | 2017-06-21 |
| Find all providers in zip 28540 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1104427632 | Sunzup Counseling and Wellness | Community/Behavioral Health | 3355 Claire Ln Apt 1116, Jacksonville, FL 32223-6662 | 2020-11-02 |
| 1063043420 | Elephant Clinic Ltd. | Community/Behavioral Health | 8 Unf Dr # 221, Jacksonville, FL 32224-7699 | 2020-02-03 |
| 1679056857 | Inspire To Rise Inc. | Community/Behavioral Health | 4603 Silverthorn Dr, Jacksonville, FL 32258-2010 | 2018-09-13 |
| 1558863787 | Positive Development, LLC | Community/Behavioral Health | 3840 Belfort Rd Ste 302, Jacksonville, FL 32216-8210 | 2018-03-04 |
| 1073012555 | Pivotal Step Services, Pllc | Community/Behavioral Health | 1106b Gum Branch Rd, Jacksonville, NC 28540-5743 | 2018-02-09 |
| 1518473594 | Werp LLC | Community/Behavioral Health | 5291 Collins Rd Lot 293, Jacksonville, FL 32244-5389 | 2017-12-28 |
| 1871007062 | National Youth Advocate Program, Inc | Community/Behavioral Health | 2200 Rosselle St, Jacksonville, FL 32204-3126 | 2017-11-27 |
| 1962913327 | Port Health Services | Community/Behavioral Health | 224 Memorial Dr Ste B, Jacksonville, NC 28546-6332 | 2017-10-12 |
| 1598282667 | B.e.h. Elderly Care LLC | Community/Behavioral Health | 5145 Timuquana Rd Apt 6, Jacksonville, FL 32210-8923 | 2017-08-29 |
| 1427598689 | Family Farms of Northeast Florida | Community/Behavioral Health | 16844 Ethel Rd, Jacksonville, FL 32218-1108 | 2017-03-06 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 28540 |
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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.