Acsr, Inc.

Organization Active NPI Adult Day Care Clinic/Center · Goose Creek, SC

NPI 1215077540 · NPPES record last updated Jun 30, 2020

Key facts

NPI
1215077540
Entity type
Organization (NPI type 2)
Primary specialty
Adult Day Care Clinic/Center 261QA0600X
Legal business name
ACSR, INC.
Practice address
104 Springhall Dr
Goose Creek, SC 29445-5335
Phone
(843) 553-1805
Fax
(843) 553-6246
NPI assigned
Feb 7, 2007
Organization subpart
Yes
Parent organization (as reported)
ACTIVE DAY, INC

Authorized official

Name
Debora Hockenbury
Title
Contracts Manager
Phone
(215) 642-6600

Corporate family (same tax ID) 22

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Acsr Inc (23 organizations share this tax ID)
Part of
Active Day Inc

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Yes
Respite Care 385H00000X SC

Addresses

Primary practice location

104 Springhall Dr
Goose Creek, SC 29445-5335

Mailing address

6 Neshaminy Interplex Dr
Suite 401
Trevose, PA 19053-6964
Phone (215) 642-6600

Other identifiers

IdentifierTypeStateIssuer
EX0600MedicaidSC

Other names

  • Active Day of Low Country Doing business as

Other providers in Goose Creek, SC

All providers in Goose Creek, SC · Adult Day Care Clinic/Center in South Carolina

Sources for this page

Verify at the official NPI Registry.