Acr Healthcare Services, LLC

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

Legal business name

ACR HEALTHCARE SERVICES, LLC

Practice address

2437 Rice St
Roseville, MN 55113-3706

Phone

(651) 484-5897

Fax

(651) 203-0693

NPI assigned

Oct 18, 2006

Last updated

Apr 19, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Gene Kyle Leistico

Title

Coo

Phone

(651) 294-4707

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ACR Medical Services, LLC Former legal business name

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366329600000",
    "number": "1417038126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2437 RICE ST",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133706",
            "telephone_number": "651-484-5897",
            "fax_number": "651-203-0693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2437 RICE ST",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133706",
            "telephone_number": "651-484-5897",
            "fax_number": "651-203-0693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACR HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2013-04-19",
        "status": "A",
        "authorized_official_last_name": "LEISTICO",
        "authorized_official_first_name": "GENE",
        "authorized_official_middle_name": "KYLE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "651-294-4707",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203638000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACR Medical Services, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Abloom Care LLC
• Halimo Dahir Abshir
• Absolute Health and Wellness L.L.C.
• Abundance of Life Adult Family Home, LLC
• Sara Rebecca Ackermann, D.O.
• Acr Homes, Inc.
• Acr Homes, Inc.
• Acr Homes, Inc.
• Acr Homes, Inc.
• Acr Homes, Inc.

• Custodial Care Facility in Roseville, MN
• Providers in Roseville, MN by specialty
• Custodial Care Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2013; 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.