Organization Active NPI

A.C.T. Healthcare Support Services, Inc

  • Home Health Agency
  • Jacksonville, FL
National Provider Identifier
1629118971
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
A.C.T. HEALTHCARE SUPPORT SERVICES, INC
Practice address
2105 Park St
Suite D
Jacksonville, FL 32204-3811
Phone
(904) 388-5413
Fax
(904) 388-5537
NPI assigned
Feb 7, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Aaron Columbus Thurmond Jr.
Title
Ceo
Phone
(904) 210-5346

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

2105 Park St
Suite D
Jacksonville, FL 32204-3811

Mailing address

318 Wildberry CT
Orange Park, FL 32073-2254
Phone (904) 210-5643

National Provider Directory

National Provider Directory

Locations

2105 Park St
Ste D
Jacksonville, FL 32204
Phone (904) 388-5413

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629118971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 WILDBERRY CT",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320732254",
            "telephone_number": "904-210-5643",
            "fax_number": "904-908-9749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 PARK ST",
            "address_2": "SUITE D",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322043811",
            "telephone_number": "904-388-5413",
            "fax_number": "904-388-5537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A.C.T. HEALTHCARE SUPPORT SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THURMOND",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "COLUMBUS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-210-5346",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.