Acv Community Services, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

11911091 Issued in FL

Legal business name

ACV COMMUNITY SERVICES, LLC

Practice address

10676 Marvin E. Jones Blvd
Live Oak, FL 32060

Phone

(386) 658-5552

Fax

(386) 658-5535

NPI assigned

Dec 19, 2006

Last updated

Oct 6, 2008By 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

Craig A. Carter

Title

President/Ceo

Phone

(386) 658-5500

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Dacier Manor Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Acv Community Services LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Acv Community Services LLC

  dba The Village Pharmacy at Dowling Park

  • Community/Retail Pharmacy
  • Dowling Park, FL
  • NPI 1407933377
  NPD tax ID
• Acv Community Services, LLC

  • Home Health Agency
  • Live Oak, FL
  • NPI 1780746735
  NPD tax ID
• Acv Community Services, LLC

  • Physical Therapist
  • Live Oak, FL
  • NPI 1801958681
  NPD tax ID

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223251200000",
    "number": "1740344563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4675",
            "city": "DOWLING PARK",
            "state": "FL",
            "postal_code": "320641507",
            "telephone_number": "386-658-5450",
            "fax_number": "386-658-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10676 MARVIN E. JONES BLVD",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "32060",
            "telephone_number": "386-658-5552",
            "fax_number": "386-658-5535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACV COMMUNITY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2008-10-06",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "386-658-5500"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "11911091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141244200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "650757301",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dacier Manor",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Acv Community Services LL
• Acv Community Services LLC
• Acv Community Services, LLC
• Acv Community Services, LLC
• Acv Health Services L L C (Good Samaritan Center)
• Gary Adams
• Kennady Lynn Allen

• Assisted Living Facility in Live Oak, FL
• Providers in Live Oak, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.