Provider Demographics
NPI:1407382229
Name:ACT CARES LLC
Entity Type:Organization
Organization Name:ACT CARES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ALTHEA
Authorized Official - Middle Name:
Authorized Official - Last Name:BUFFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-363-9611
Mailing Address - Street 1:2250 PAR LN
Mailing Address - Street 2:APT 119
Mailing Address - City:WILLOUGHBY HILLS
Mailing Address - State:OH
Mailing Address - Zip Code:44094-2921
Mailing Address - Country:US
Mailing Address - Phone:864-363-9611
Mailing Address - Fax:
Practice Address - Street 1:2250 PAR LN
Practice Address - Street 2:APT 119
Practice Address - City:WILLOUGHBY HILLS
Practice Address - State:OH
Practice Address - Zip Code:44094-2921
Practice Address - Country:US
Practice Address - Phone:864-363-9611
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services