Provider Demographics
NPI:1629118971
Name:A.C.T. HEALTHCARE SUPPORT SERVICES, INC
Entity Type:Organization
Organization Name:A.C.T. HEALTHCARE SUPPORT SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:COLUMBUS
Authorized Official - Last Name:THURMOND
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:904-210-5346
Mailing Address - Street 1:318 WILDBERRY CT
Mailing Address - Street 2:
Mailing Address - City:ORANGE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32073-2254
Mailing Address - Country:US
Mailing Address - Phone:904-210-5643
Mailing Address - Fax:904-908-9749
Practice Address - Street 1:2105 PARK ST
Practice Address - Street 2:SUITE D
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32204-3811
Practice Address - Country:US
Practice Address - Phone:904-388-5413
Practice Address - Fax:904-388-5537
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health