ACI SUPPORT SPECIALISTS, INC.


Address: 1232 Penselwood Dr, Raleigh, NC 27604-9690
Phone: 9198612000

ACI SUPPORT SPECIALISTS, INC. (NPI# 1821461880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821461880
Entity Type Organization
Organization Name ACI SUPPORT SPECIALISTS, INC.
Practice Address 1232 Penselwood Dr
Raleigh
NC 27604-9690
Mailing Address 8504 Six Forks Rd
Suite 101
Raleigh
NC 27615-3261
Practice Telephone 9198612000
Practice Fax Number 9198612001
Mailing Telephone 9198612000
Mailing Fax Number 9198612001
Enumeration Date 2015-11-12
Last Update Date 2015-11-12
Authorized Official Name TIM WADFORD (DIRECTOR)
Authorized Official Telephone 9198612000
Is Organization Subpart Y
Parent Organization Name ACI SUPPORT SPECIALISTS, INC.

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
NC 3408221 05

Other Provider IDs and Locations

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
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
1619374311 Aci Support Specialists, Inc. Foster Care Agency 2040 Wilmington Hwy, Suite A, Jacksonville, NC 28540-3121 2014-11-24
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

Office Location

Street Address 1232 PENSELWOOD DR
City RALEIGH
State NC
Zip Code 27604-9690

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1972969913 Shivas Gilotra Nurse Practitioner 805 Oberlin Road, Ste 200, Raleigh, NC 27604 2016-01-06
1609247915 Charisse Justine Young Social Worker 2609 Atlantic Avenue, Suite 111c, Raleigh, NC 27604 2015-10-13
1356748933 John T Hart Counselor 1115-113 Cove Bridge Road, Raleigh, NC 27604 2014-11-26
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Taxonomy Information

Taxonomy Code 251C00000X
Grouping Agencies
Classification Day Training, Developmentally Disabled Services

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902346067 Nc Community Care Services Inc Day Training, Developmentally Disabled Services 555 Fayetteville Street, Ste. 201, Raleigh, NC 27601 2017-03-08
1962888396 A Gentle Touch Home Care Day Training, Developmentally Disabled Services 8426 Berkshire Village Ct, Raleigh, NC 27616-7714 2015-08-07
1619374576 Your Choice Services, Inc. Day Training, Developmentally Disabled Services 6737 Six Forks Rd, B2, Raleigh, NC 27615-6423 2014-11-20
1346644143 Your Choice Services, Inc. Day Training, Developmentally Disabled Services 3640 Castlegate Dr, Raleigh, NC 27616-9551 2014-10-22
1639571318 Your Choice Services, Inc. Day Training, Developmentally Disabled Services 6749 B4 Six Forks Rd, Raleigh, NC 27615-6424 2014-09-24
1730581596 Hudson Home Day Training, Developmentally Disabled Services 4313 Emmit Dr, Raleigh, NC 27604-4788 2014-09-23
1821497058 New Beginnings of Nc, LLC Day Training, Developmentally Disabled Services 4280 Saubranch Hill St, Raleigh, NC 27616-5999 2014-08-13
1346668738 Brighthaven Homes Day Training, Developmentally Disabled Services 2705 Brighthaven Dr, Raleigh, NC 27614-6745 2014-04-02
1710303151 Tlc Operations, Inc. Day Training, Developmentally Disabled Services 747 Chappell Drive, Raleigh, NC 27606-3215 2014-03-10
1720415532 Aci Support Specialists Day Training, Developmentally Disabled Services 5127 Wetlands Drive, Raleigh, NC 27610 2013-10-11
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Competitor

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City RALEIGH
Zip Code 27604

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Dataset Information

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.

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