Active NPI
Ace Support Inc
- Developmental Disabilities Clinic/Center
- Washington, DC
National Provider Identifier
1104485267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Disabilities Clinic/Center
- Legal business name
- ACE SUPPORT INC
- Practice address
- 1629 K St NW Ste 300
Washington, DC 20006-1631 - Phone
- (240) 421-1251
- NPI assigned
- Jun 11, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ephraim Akin Makinde, RN
- Title
- Ceo
- Phone
- (240) 421-1251
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Early Intervention Provider Agency | 252Y00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Developmental Disabilities Clinic/Center | 261QD1600X | Primary | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Assisted Living Facility (Behavioral Disturbances) | 3104A0630X | |||
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X |
Addresses
Primary practice location
1629 K St NW Ste 300
Washington, DC 20006-1631
Mailing address
9403 Nicklaus LN
Laurel, MD 20708-3235
Phone (240) 421-1251
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 832285231 | Medicaid | DC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@acesupportinc.com |
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Severn, MD
- NPI 1346973062
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560211200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1560211200000",
"number": "1104485267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9403 NICKLAUS LN",
"city": "LAUREL",
"state": "MD",
"postal_code": "207083235",
"telephone_number": "240-421-1251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1629 K ST NW STE 300",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200061631",
"telephone_number": "240-421-1251"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACE SUPPORT INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-11",
"last_updated": "2019-06-11",
"status": "A",
"authorized_official_last_name": "MAKINDE",
"authorized_official_first_name": "EPHRAIM",
"authorized_official_middle_name": "AKIN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "240-421-1251",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "3104A0630X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
"state": null,
"license": null,
"primary": false
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "832285231",
"state": "DC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@acesupportinc.com",
"affiliation": "N",
"address_1": "1629 K St NW Ste 300",
"city": "Washington",
"state": "DC",
"country_code": "US",
"postal_code": "200061631",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.