Advanced Care Support Corporation

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

ADVANCED CARE SUPPORT CORPORATION

Practice address

252 W Swamp Rd Ste 7
Doylestown, PA 18901-2465

Phone

(267) 616-0100

Fax

(267) 224-4508

NPI assigned

Jan 18, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Felix Briskin

Title

Dir. Operations

Phone

(267) 616-0100

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1547769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547769600000",
    "number": "1831663236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 W SWAMP RD STE 7",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012465",
            "telephone_number": "267-616-0100",
            "fax_number": "267-224-4508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 W SWAMP RD STE 7",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012465",
            "telephone_number": "267-616-0100",
            "fax_number": "267-224-4508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CARE SUPPORT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-18",
        "last_updated": "2019-01-18",
        "status": "A",
        "authorized_official_last_name": "BRISKIN",
        "authorized_official_first_name": "FELIX",
        "authorized_official_title_or_position": "DIR. OPERATIONS",
        "authorized_official_telephone_number": "267-616-0100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1030081030001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; 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.