ACI SUPPORT SPECIALISTS, INC. (NPI# 1568801355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568801355 |
| Entity Type | Organization |
| Organization Name | ACI SUPPORT SPECIALISTS, INC. |
| Practice Address |
342 Wagoner Dr Suite 107 Fayetteville NC 28303-4686 |
| Mailing Address |
8504 Six Forks Rd Suite 101 Raleigh NC 27615-3261 |
| Practice Telephone | 9103394573 |
| Practice Fax Number | 9103394813 |
| Mailing Telephone | 9198612000 |
| Mailing Fax Number | 9198612001 |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2013-06-14 |
| 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 | 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 |
|---|---|---|---|---|
| 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 |
| 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 |
| 1184063976 | Aci Support Specialists, Inc. | Case Management | 407 S Griffin St, Ste J, Elizabeth City, NC 27909-4693 | 2013-06-14 |
| Street Address |
342 WAGONER DR SUITE 107 |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28303-4686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801404496 | Matthew Pace | Physician Assistant | Bldg 5-4257 Bastogne St, Fort Bragg, NC 28303 | 2020-07-20 |
| 1952920449 | Vonetta Bethea Jackson | Social Worker | 391 Wagoner Drive, Fayetteville, NC 28303 | 2020-04-14 |
| 1932746229 | Julie Harriss | Specialist/Technologist | Bldg E 4062, Canopy Lane, Fort Bragg, NC 28303 | 2019-12-05 |
| 1235780354 | Helen Delores Johnson | Technician | 261 Pierron Dr, Fayetteville, NC 28303 | 2019-09-20 |
| 1922655075 | Andrea Margaret Hutnam | Technician | 714 Shortridge Rd, Fayetteville, NC 28303 | 2019-08-23 |
| 1225695273 | Breona Lister | Dental Hygienist | 38 17 Gruber Rd, Fort Bragg, NC 28303 | 2019-05-24 |
| 1780148957 | Brian K Cox Sr. | Occupational Therapy Assistant | 5300 Ramsey St, Fayetteville, NC 28303 | 2019-01-22 |
| 1730670902 | Michael Sadtler | Counselor | 804 Stamper Rd Ste 101, Fayetteville, NC 28303 | 2018-05-23 |
| 1104320399 | Tia Porterfield | Counselor | 2018 Fort Bragg Rd Ste 112a, Fayetteville, NC 28303 | 2018-03-21 |
| 1154835577 | Jessica Bass Bosworth | Psychologist | 3415 Youngstown Dr, Fayetteville, NC 28303 | 2017-11-21 |
| Find all providers in zip 28303 | ||||
| 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 | 28303 |
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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.