Acts Signature Community Services, Inc.
Organization Active NPI Internal Medicine Physician · Matthews, NC
NPI 1306201652 · NPPES record last updated Feb 21, 2024
Key facts
- NPI
- 1306201652
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- ACTS SIGNATURE COMMUNITY SERVICES, INC.
- Practice address
- 740 Pavilion View Dr
Matthews, NC 28105-6550 - Phone
- (704) 709-2538
- NPI assigned
- Dec 30, 2015
- Organization subpart
- No
Authorized official
- Name
- Susan Ahern
- Title
- SVP, Cfo
- Phone
- (215) 661-8330
Owned or controlled facilities with NPI records 25
Other NPIs on the same Medicare enrollment 3
Other NPIs with the same Medicare PAC ID 11
Corporate family (same tax ID) 27
Member of 1
Practitioners 35
-
Lauren Haas, AGPCNP-C
-
Shiniqua Mona Lee, LCSW
-
Stephanie Hodgson Pitts, APRN
-
Brandy N White, FNP-C
-
Hannah Deberry, FNP-C
-
Lisa Ann Allen, ARNP
-
Deana Beard, APRN
-
Lauren Frances Bickel, LCSW
-
Tonia P. Boddie, DNP
-
Bethany Cassidy, RN
-
Theresa J Davies, ARNP
-
Tammy L Dibricida, CRNP
-
Melanie Donathan, M.S.
-
Robin L Drowne, CRNP
-
Rebecca Lee Ford, ANP
-
Cheryl A Homer, ARNP
-
Susan Lambertson, NURSE PRACTITIONER
-
Lisy Mathew, ARNP
-
Jessica Meraz, LMHC
-
Kerry Kay Peete, FNP
-
Christy Petit, FNP-C
-
Cyndi H Phung, NP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NC
All facility ownership & control disclosures 25
| Facility | Type | Role | Since |
|---|---|---|---|
| Willowbrooke Court Skilled Care Center at Fort Washington Estates |
Skilled nursing facility | Indirect Ownership Interest | Dec 31, 2022 |
| Willowbrooke Court at Indian River Estates |
Skilled nursing facility | Indirect Ownership Interest | Dec 31, 2022 |
| Willowbrooke Court SC Ctr at Matthews Glen |
Skilled nursing facility | Indirect Ownership Interest | Mar 24, 2009 |
| Willowbrooke Court Skilled Care Center-Edgewater at Boca Pointe |
Skilled nursing facility | Indirect Ownership Interest | Dec 31, 2022 |
| Willowbrooke Court at St. Andrews Estates |
Skilled nursing facility | Indirect Ownership Interest | Dec 31, 2022 |
| Willowbrooke Court at Southampton Estates |
Skilled nursing facility | Indirect Ownership Interest | Dec 31, 2022 |
| Willowbrooke Court at Granite Farms Estates |
Skilled nursing facility | Indirect Ownership Interest | Dec 31, 2022 |
| Willowbrooke Court SC Center at Tryon Estates |
Skilled nursing facility | Indirect Ownership Interest | Mar 24, 2009 |
| Willowbrooke Court Skilled Care Center at Normandy Farms Estates |
Skilled nursing facility | Indirect Ownership Interest | Dec 31, 2022 |
| Willowbrooke Court Skilled Care Center at Lima Estates |
Skilled nursing facility | Indirect Ownership Interest | Dec 31, 2022 |
| Willowbrooke Court at Spring House Estates |
Skilled nursing facility | Indirect Ownership Interest | Mar 24, 2009 |
| Willowbrooke Court Skilled Care Center at Brittany Pointe Estates |
Skilled nursing facility | Indirect Ownership Interest | Dec 31, 2022 |
| Willowbrooke Court at Lanier Village Estates |
Skilled nursing facility | Indirect Ownership Interest | Dec 31, 2022 |
| Willowbrooke Court at Azalea Trace |
Skilled nursing facility | Indirect Ownership Interest | Dec 31, 2022 |
| The Cedar at Mease Life |
Skilled nursing facility | Indirect Ownership Interest | Oct 1, 2023 |
| Willowbrooke Court Skilled Care Center at the Terraces |
Skilled nursing facility | Indirect Ownership Interest | Nov 1, 2024 |
| Willowbrooke Court Skilled Care Center at Magnolia Trace |
Skilled nursing facility | Indirect Ownership Interest | Mar 24, 2009 |
| Willowbrooke Court at Cokesbury Village |
Skilled nursing facility | Indirect Ownership Interest | Dec 31, 2022 |
| Willowbrooke Court at Country House |
Skilled nursing facility | Indirect Ownership Interest | Mar 24, 2009 |
| Willowbrooke Court at Manor House |
Skilled nursing facility | Indirect Ownership Interest | Dec 31, 2022 |
| Willowbrooke Court Skilled Care Center at Fairhaven |
Skilled nursing facility | Indirect Ownership Interest | Dec 31, 2022 |
| Willowbrooke Court Skilled Care Center at Buckingham'S Choice |
Skilled nursing facility | Indirect Ownership Interest | Dec 31, 2022 |
| Willowbrooke Court Skilled Care Center at Bayleigh Chase |
Skilled nursing facility | Indirect Ownership Interest | Dec 31, 2022 |
| Willowbrooke Court Skilled Care at Evergreens |
Skilled nursing facility | Indirect Ownership Interest | Dec 31, 2022 |
| Willowbrooke Court Skilled Care Center at Heron Point |
Skilled nursing facility | Indirect Ownership Interest | Dec 31, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150217000898 | NC | Part B Supplier - Clinic/Group Practice | 1951212380 |
Receives reassigned benefits from 6 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Columbus, NC; Matthews, NC |
| O20160517001001 | NC | Part B Supplier - Clinic/Group Practice | 5092032284 |
Receives reassigned benefits from 7 practitioners 1 other NPI on this enrollment Practice locations: Columbus, NC; Matthews, NC |
National Provider Directory
- Tax ID family
- Acts Community Signature Services
Locations
740 Pavilion View Dr
Matthews, NC 28105
Phone (704) 709-2538
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
740 Pavilion View Dr
Matthews, NC 28105-6550
Mailing address
420 Delaware Dr
Fort Washington, PA 19034-2711
Phone (267) 787-4097
Other names
- Primary Care Services at Matthews Glen
Other providers in Matthews, NC
- Ashley Abner
- Shyni Sarah Jacob Abraham
- Abrams,Barrows,Cohen & Associates II PA
- Acts Retirement-Life Communities, Inc.
- Acts Retirement-Life Communities, Inc.
- Donald P. Adams
- Samantha Adcock
- Faranak Adeli
- Adio Associates Inc
- Tamara Adkins
All providers in Matthews, NC · Internal Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.