ACSR INC. NPI 1508906520

NPI Information

NPI: 1508906520
Provider Name: ACSR, INC.
Classification: Clinic/Center - 261QA0600X
Specialization: Adult Day Care
Entity Type: Organization
Doing Business As: ACTIVE DAY OF WINNSBORO
CLIA Number: 42D0981690
Address: 219 NORTH CONGRESS STREET
WINNSBORO, SC
ZIP 29180
Phone: (803) 712-6820

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NPI Details

ACSR, INC. is an adult day care clinic center in Winnsboro, SC. ACSR, INC. NPI is 1508906520. The provider is registered as an organization entity type.
The provider Is Doing Business As Active Day Of Winnsboro.

The provider's business location address is:

219 NORTH CONGRESS STREET
WINNSBORO, SC
ZIP 29180
Phone: (803) 712-6820
Fax: (803) 712-9849

The provider's authorized official is Debora Hockenbury .
The authorized official title is Contracts Manager and has the following contact phone number (215) 642-6600.

The CLIA number assigned to this NPI record is 42D0981690 - other - adukt day medical with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/7/2007 and was last updated on 6/30/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	385H00000X	Respite Care			SOUTH CAROLINA	No
2	261QA0600X	Clinic/Center	Adult Day Care			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	EX0555	MEDICAID	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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