ACI SUPPORT SPECIALISTS, INC. (NPI# 1891071775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891071775 |
| Entity Type | Organization |
| Organization Name | ACI SUPPORT SPECIALISTS, INC. |
| Practice Address |
4265 Brownsboro Rd Suite 220 Winston Salem NC 27106-3425 |
| Mailing Address |
834 Timber Dr Garner NC 27529-4850 |
| Practice Telephone | 9198612000 |
| Practice Fax Number | 9198612001 |
| Mailing Telephone | 9198612000 |
| Mailing Fax Number | 9198612001 |
| Enumeration Date | 2011-10-24 |
| Last Update Date | 2015-08-27 |
| Authorized Official Name | TIM WADFORD (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 9198612000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | NC | Residential Treatment Facilities | |
| N | 251C00000X | Day Training, Developmentally Disabled Services | 3408221 | NC | Agencies |
| Y | 251S00000X | Community/Behavioral Health | 3408221 | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | NC DHHS | 00000 | 01 |
| 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 |
| 1568801355 | Aci Support Specialists, Inc. | Case Management | 342 Wagoner Dr, Suite 107, Fayetteville, NC 28303-4686 | 2013-06-14 |
| Street Address |
4265 BROWNSBORO RD SUITE 220 |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27106-3425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134169790 | Candace Louise Washington | Psychologist | 4265 Brownsboro Rd, Suite 150, Winston Salem, NC 27106-3425 | 2006-06-08 |
| 1376981647 | Aci Support Specialists, LLC | Case Management | 4265 Brownsboro Rd, Suite 115, Winston Salem, NC 27106-3425 | 2013-06-10 |
| 1952615734 | Candicares, Pllc | Psychologist | 4265 Brownsboro Rd, Suite 150, Winston Salem, NC 27106-6194 | 2010-08-03 |
| 1013175470 | Lesa Arnold Chesson | Counselor | 4265 Brownsboro Rd, Suite 214, Winston Salem, NC 27106-3425 | 2008-06-01 |
| 1245442508 | Megan Elizabeth Ferguson | Genetic Counselor, MS | 4265 Brownsboro Rd, Suite 115, Winston Salem, NC 27106-3425 | 2007-05-07 |
| 1457499485 | Family Preservation Services of Nc, Inc. | Community/Behavioral Health | 4265 Brownsboro Rd, Suite 260, Winston Salem, NC 27106-3425 | 2007-02-02 |
| 1477691400 | Family Preservation Services of Nc, Inc. | Community/Behavioral Health | 4265 Brownsboro Rd, Suite 260, Winston Salem, NC 27106-3425 | 2007-02-02 |
| 1023156973 | Family Preservation Services of Nc, Inc. | Community/Behavioral Health | 4265 Brownsboro Rd, Suite 200, Winston Salem, NC 27106-3425 | 2007-02-02 |
| 1912045865 | Family Preservation Services of Nc, Inc. | Community/Behavioral Health | 4265 Brownsboro Rd, Suite 200, Winston Salem, NC 27106-3425 | 2007-02-02 |
| 1427111384 | Dream Makers Assisted Living Services, LLC.. | Day Training, Developmentally Disabled Services | 4265 Brownsboro Rd, Suite 206, Winston Salem, NC 27106-3425 | 2006-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437799103 | Tyler Laura Lawrence | Behavioral Analyst | 1959 N Peace, 104, Winston-salem, NC 27106 | 2020-01-10 |
| 1316504624 | Amanda Baker | Behavior Technician | 1959 N Peace Haven Rd, Suite 104, Winston Salem, NC 27106 | 2019-05-22 |
| 1679030316 | Lavonda Williams | Behavior Technician | 1959 N Peace Haven Road, Winston Salem, NC 27106 | 2019-03-01 |
| 1518436708 | Angela Ruth Brown | Physical Therapy Assistant | 190 Moravian Way Drive, Winston-salem, NC 27106 | 2018-11-16 |
| 1407378896 | Applied Family Services of Winston-salem | Early Intervention Provider Agency | 4220 Witherow Rd, Winston Salem, NC 27106 | 2017-07-07 |
| 1750801676 | Julia Ann Horton | Speech-Language Pathologist | 2000 Salemtowne Drive, Winston Salem, NC 27106 | 2017-06-21 |
| 1124548037 | Tyler John Jones | Community Health Worker | 7014 Brandemere Ln. Apt F, Winston Salem, NC 27106 | 2017-06-21 |
| 1396274759 | Jennifer Cui | Social Worker | 3216 Cross Tree Rd, Winston-salem, NC 27106 | 2017-06-08 |
| 1063947802 | Rebecca Jeanette Mclemore | Social Worker | 4401 Providence Ln. #121, Top Priority Care Services, LLC., Winston-salem, NC 27106 | 2017-05-01 |
| 1720529357 | Rising Hope Clinical Assistance, LLC | Community/Behavioral Health | 510 Northgate Park Dr, Winston Salem, NC 27106 | 2017-03-15 |
| Find all providers in zip 27106 | ||||
| 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 |
|---|---|---|---|---|
| 1407489529 | It Takes A Village Residential Care LLC | Community/Behavioral Health | 5008 Butterfield Dr, Winston Salem, NC 27105-3344 | 2020-02-17 |
| 1265070890 | Monarch | Community/Behavioral Health | 2680 Grosvenor Pl Apt 1, Winston Salem, NC 27106-5244 | 2019-12-13 |
| 1457810491 | Marilyn Marie Holder | Community/Behavioral Health | 3215 Linda Cir, Winston Salem, NC 27106-3023 | 2019-03-19 |
| 1306362017 | The Gracen Foundation | Community/Behavioral Health | 1140 Old Hollow Rd, Winston Salem, NC 27105-8709 | 2017-08-15 |
| 1720529357 | Rising Hope Clinical Assistance, LLC | Community/Behavioral Health | 510 Northgate Park Dr, Winston Salem, NC 27106 | 2017-03-15 |
| 1962940601 | Kenya Thornton | Community/Behavioral Health | 1225 East 5th, Suite 100, Winston Salem, NC 27101 | 2017-02-02 |
| 1881076446 | Monarch | Community/Behavioral Health | 967 Salisbury Ridge Rd, Winston Salem, NC 27127-3709 | 2015-06-19 |
| 1487032249 | Monarch | Community/Behavioral Health | 2844 Reynolda Rd, Winston Salem, NC 27106-3102 | 2015-05-13 |
| 1467839696 | Aria Health LLC | Community/Behavioral Health | 5312 Summit Heights Dr, Winston Salem, NC 27104-4479 | 2015-04-27 |
| 1194128629 | Valerie Benton Center | Community/Behavioral Health | 8 W 3rd St Ste 220, Winston Salem, NC 27101-3977 | 2014-09-29 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27106 |
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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.