1518962315 NPI number — ACTS SIGNATURE COMMUNITY SERVICES, INC.

Table of content: (NPI 1518962315)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518962315 NPI number — ACTS SIGNATURE COMMUNITY SERVICES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ACTS SIGNATURE COMMUNITY SERVICES, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1518962315
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/20/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
420 DELAWARE DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FORT WASHINGTON
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19034-2711
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
267-787-4097
Provider Business Mailing Address Fax Number:
215-699-2065

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
726 LOVEVILLE RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOCKESSIN
Provider Business Practice Location Address State Name:
DE
Provider Business Practice Location Address Postal Code:
19707-1515
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
302-235-6066
Provider Business Practice Location Address Fax Number:
302-230-6001
Provider Enumeration Date:
06/17/2005

Additional Information

Authorized Official

Authorized Official Last Name:
AHERN
Authorized Official First Name:
SUSAN
Authorized Official Middle Name:
Authorized Official Title or Position:
SVP, CFO
Authorized Official Telephone Number:
215-661-8330

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  C10005468 , registered in the state of DE ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 350119800 . This is a "PHYSICIAN SERVICES" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: 51008217T . This is a "PHYSICIAN SERVICES" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".




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