Provider Demographics
NPI:1710763396
Name:A&C SPECIAL CARE SERVICES, LLC
Entity Type:Organization
Organization Name:A&C SPECIAL CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:DWAYNE
Authorized Official - Last Name:SCRANTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-652-6793
Mailing Address - Street 1:16626 OAK GLEN MEADOWS LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-6680
Mailing Address - Country:US
Mailing Address - Phone:832-652-6793
Mailing Address - Fax:
Practice Address - Street 1:16626 OAK GLEN MEADOWS LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-6680
Practice Address - Country:US
Practice Address - Phone:832-652-6793
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-07
Last Update Date:2024-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities