OrganizationActive
Ac Support Systems, LLC
NPI 1609178656 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Virginia Beach, VA
Provider details
- NPI number
- 1609178656
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Rizal Cruz, Owner(757) 408-9760
- License
- 1483-01-001 (VA)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 1483-01-001 (VA)
Residential Treatment Facilities
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4412 Glen Lake Path
Virginia Beach, VA 23462-4714
Phone: (757) 408-9760
Fax: (757) 353-4424
Street-level locationGet directions
Mailing address
3420 Plum Cres
Virginia Beach, VA 23453-2815
Registry dates
- Enumerated
- 2010-11-24
- Last updated
- 2010-11-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.