Healthcare Provider Details

I. General information

NPI: 1407244403
Provider Name (Legal Business Name): A C ENTERPRISES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/30/2014
Last Update Date: 03/04/2021
Certification Date: 03/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5927 SPURWOOD DR
COLORADO SPRINGS CO
80918-8102
US

IV. Provider business mailing address

5927 SPURWOOD DR
COLORADO SPRINGS CO
80918-8102
US

V. Phone/Fax

Practice location:
  • Phone: 719-629-6796
  • Fax: 888-505-3617
Mailing address:
  • Phone: 719-629-6796
  • Fax: 888-505-3617

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: LYNN PEIER
Title or Position: ADMINISTRATOR
Credential:
Phone: 719-629-6796