Organization Active NPI

Agency for Community Empowerment Ace

  • Community/Behavioral Health Agency
  • Jacksonville, FL
National Provider Identifier
1073835625
Registry record updated May 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
AGENCY FOR COMMUNITY EMPOWERMENT ACE
Practice address
5730 Bowden Rd Ste 206
Jacksonville, FL 32216
Phone
(904) 551-0760
Fax
(904) 745-3793
NPI assigned
Feb 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Brenda Leigh Shephard
Title
Director of Finance
Phone
(904) 551-0760

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X FL
Community/Behavioral Health Agency 251S00000X FL Primary

Addresses

Primary practice location

5730 Bowden Rd Ste 206
Jacksonville, FL 32216

Mailing address

5730 Bowden Rd Ste 206
Jacksonville, FL 32216-6103
Phone (904) 551-0760

National Provider Directory

National Provider Directory

Locations

5730 Bowden Rd
Jacksonville, FL 32216

511 N Washington St
Jacksonville, FL 32202
Phone (904) 551-0760

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1266969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526515200000",
    "number": "1073835625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 BOWDEN RD STE 206",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166103",
            "telephone_number": "904-551-0760",
            "fax_number": "904-745-3793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5730 BOWDEN RD STE 206",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32216",
            "telephone_number": "904-551-0760",
            "fax_number": "904-745-3793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGENCY FOR COMMUNITY EMPOWERMENT ACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-24",
        "last_updated": "2018-05-17",
        "status": "A",
        "authorized_official_last_name": "SHEPHARD",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "904-551-0760",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.