Acv Community Services, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ACV COMMUNITY SERVICES, LLC

Practice address

10820 Marvin E. Jones Blvd
Live Oak, FL 32060

Phone

(386) 658-5865

Fax

(386) 658-5542

NPI assigned

Dec 15, 2006

Last updated

Oct 8, 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 5

Addresses

Other identifiers 2

Other names 1

• Village Rehab Center Other name

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

  • Assisted Living Facility
  • Live Oak, FL
  • NPI 1740344563
  NPD tax ID
• Acv Community Services, LLC

  • Home Health Agency
  • Live Oak, FL
  • NPI 1780746735
  NPD tax ID

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223424000000",
    "number": "1801958681",
    "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": "10820 MARVIN E. JONES BLVD",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "32060",
            "telephone_number": "386-658-5865",
            "fax_number": "386-658-5542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACV COMMUNITY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2008-10-08",
        "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": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y923Y",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891870800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Rehab Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Physical Therapist in Live Oak, FL
• Providers in Live Oak, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; 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.