ACT CARE GROUP, LLC – NPI #1417316530
Clinic/Center

ACT CARE GROUP, LLC is an AHC clinic located in STATEN ISLAND, NY. NPPES has assigned the NPI number 1417316530 to ACT CARE GROUP, LLC on February 17, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QA0600X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adult Day Care

The NPI profile was last updated on Sep 30, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ACT CARE GROUP, LLC below.

NPI Profile for
ACT CARE GROUP, LLC

NPI Number
1417316530
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ACT CARE GROUP, LLC
Primary location
1698 VICTORY BLVD
STATEN ISLAND, NY 10314
Phone: (347) 621-6174 Fax:
Mailing address
1698 VICTORY BOULEVARD
STATEN ISLAND, NY 10314
Phone: (347) 621-6174 Fax:
Organization Subpart
No
Authorized Official
ANN SELFRIDGE
PRESIDENT
Phone: (347) 621-6174
Updated
Certification Date
Sep 30, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA0600X
- Clinic/Center / Adult Day Care (Primary)
385H00000X
- Respite Care

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.