MEDICARE: ACI SUPPORT SPECIALISTS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251B00000X	Case Management Agency
2	251C00000X	Developmentally Disabled Services Day Training Agency
3	253J00000X	Foster Care Agency
4	251S00000X	Community/Behavioral Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750431623
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACI SUPPORT SPECIALISTS, LLC

Provider Business Mailing Address
First Line	:	1444 NORTHLAND DR STE 200
Second Line	:
City	:	MENDOTA HEIGHTS
State	:	MN
Zip	:	55120-1032
Country	:	US
Telephone Number	:	651-699-0206
Fax Number	:	651-699-0799

Provider Business Practice Location Address
First Line	:	834 TIMBER DR
Second Line	:
City	:	GARNER
State	:	NC
Zip	:	27529-4850
Country	:	US
Telephone Number	:	919-861-2000
Fax Number	:	919-861-2001

Authorized Official
Title or Position	:	CEO
Name	:	LORI KRESS
Credential	:
Telephone Number	:	651-789-5906

Provider Enumeration Date	:	01/11/2007
Last Update Date	:	10/08/2024

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Directions to “ACI SUPPORT SPECIALISTS, LLC ” Practice Location

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