Ac Support Systems, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

1483-01-001 Issued in VA

Legal business name

AC SUPPORT SYSTEMS, LLC

Practice address

4412 Glen Lake Path
Virginia Beach, VA 23462-4714

Phone

(757) 408-9760

Fax

(757) 353-4424

NPI assigned

Nov 24, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Rizal L Cruz

Title

Owner

Phone

(757) 408-9760

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1290556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290556800000",
    "number": "1609178656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 PLUM CRES",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234532815",
            "telephone_number": "757-408-9760",
            "fax_number": "757-353-4424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4412 GLEN LAKE PATH",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234624714",
            "telephone_number": "757-408-9760",
            "fax_number": "757-353-4424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AC SUPPORT SYSTEMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-24",
        "last_updated": "2010-11-24",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "RIZAL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-408-9760",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "1483-01-001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2010; 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.