Provider Demographics
NPI:1013251511
Name:ACTS SIGNATURE COMMUNITY SERVICES
Entity Type:Organization
Organization Name:ACTS SIGNATURE COMMUNITY SERVICES
Other - Org Name:ACTS HOME HEALTH AND SENIOR SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:CLANCY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:561-362-0669
Mailing Address - Street 1:2250 INDIAN CREEK BLVD W
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32966-1331
Mailing Address - Country:US
Mailing Address - Phone:772-778-3828
Mailing Address - Fax:772-770-0898
Practice Address - Street 1:2250 INDIAN CREEK BLVD W
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32966-1331
Practice Address - Country:US
Practice Address - Phone:772-778-3828
Practice Address - Fax:772-770-0898
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-21
Last Update Date:2013-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299991089253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care