Organization Active NPI

Ace Case Manage Services, LLC

  • Point of Service
  • Charleston, SC
National Provider Identifier
1003226002
Registry record updated Nov 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
8224 Issued in SC
Legal business name
ACE CASE MANAGE SERVICES, LLC
Practice address
8732 Herons Walk
Charleston, SC 29420-7445
Phone
(803) 361-9634
NPI assigned
Apr 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
William Wallace
Title
Owner
Phone
(803) 361-9634

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 8224 SC Primary

Addresses

Primary practice location

8732 Herons Walk
Charleston, SC 29420-7445

Mailing address

8732 Herons Walk
Charleston, SC 29420-7445
Phone (803) 361-9634

Other identifiers 1

IdentifierTypeStateIssuer
8224MedicaidSC

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446508800000",
    "number": "1003226002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8732 HERONS WALK",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294207445",
            "telephone_number": "803-361-9634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8732 HERONS WALK",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294207445",
            "telephone_number": "803-361-9634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACE CASE MANAGE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-30",
        "last_updated": "2015-11-03",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-361-9634"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "SC",
            "license": "8224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8224",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.