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ACSR INC. NPI 1679613038


NPI Information

NPI: 1679613038
Provider Name: ACSR, INC.

Doing Business As: ACTIVE DAY OF GREENVILLE

Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

CLIA Number: 42D0981671

Address:
21 MCBETH ST
GREENVILLE, SC
ZIP 29611
Phone: (864) 271-4211
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ACSR, INC. is an adult day care clinic center in Greenville, SC. ACSR, INC. NPI is 1679613038. The provider is registered as an organization entity type.
The provider Is Doing Business As Active Day Of Greenville.

The provider's business location address is:

21 MCBETH ST
GREENVILLE, SC
ZIP 29611-548
Phone: (864) 271-4211
Fax: (864) 271-4196

The provider's authorized official is Daniel Schwartz .
The authorized official title is Coo and has the following contact phone number (215) 642-6600.

The CLIA number assigned to this NPI record is 42D0981671 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/7/2007 and was last updated on 1/29/2020.


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
1261QA0600XClinic/CenterAdult Day CareYes
2385H00000XRespite CareSOUTH CAROLINANo

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
1EX0570MEDICAIDSOUTH 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: 5/5/2024

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