Organization Active NPI

Annie B. Jones Community Services, Inc

  • Community/Behavioral Health Agency
  • Chicago, IL
National Provider Identifier
1093993065
Registry record updated Mar 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
A88350001A Issued in IL
Legal business name
ANNIE B. JONES COMMUNITY SERVICES, INC
Practice address
1818 E 71St St
Chicago, IL 60649-2010
Phone
(773) 667-2100
Fax
(773) 667-9578
NPI assigned
Feb 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2010

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

Authorized official

Name
Dr. Vivian Rose Jones, M.ED
Title
Founder/President & Ceo
Phone
(773) 667-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X A88350001A IL Primary

Addresses

Primary practice location

1818 E 71St St
Chicago, IL 60649-2010

Mailing address

1507 E 53Rd St
PMB 336
Chicago, IL 60615-4509
Phone (773) 667-2100

Other names 1

  • ABJ Community Services, Inc Doing business as

National Provider Directory

National Provider Directory

Locations

1818 E 71st St
Chicago, IL 60649
Phone (630) 789-0282

NPI Registry JSON

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268956800000",
    "number": "1093993065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 E 53RD ST",
            "address_2": "PMB 336",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606154509",
            "telephone_number": "773-667-2100",
            "fax_number": "773-667-6736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 E 71ST ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606492010",
            "telephone_number": "773-667-2100",
            "fax_number": "773-667-9578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNIE B. JONES COMMUNITY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-01",
        "last_updated": "2010-03-19",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "FOUNDER/PRESIDENT & CEO",
        "authorized_official_telephone_number": "773-667-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.ED"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "A88350001A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABJ Community Services, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2010; 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.