Abc Community Services LLC

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Legal business name

ABC COMMUNITY SERVICES LLC

Doing business as

Acs

Practice address

1622 English Ave
Indianapolis, IN 46201-3912

Phone

(317) 434-5973

Fax

(770) 872-8267

NPI assigned

Jul 14, 2020

Last updated

Jul 14, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Jacqueline Edwards, MSN, FNPCNPI 1740688910

Title

Director

Phone

(678) 237-7183

Specialties & licenses 2

Addresses

Other names 1

• ACS Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacqueline Carolyn Edwards, N.P., RN

  • Family Nurse Practitioner
  • Jonesboro, GA
  • NPI 1740688910
  NPD Authorized official

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594684800000",
    "number": "1124636394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 ENGLISH AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462013912",
            "telephone_number": "317-434-5973",
            "fax_number": "770-872-8267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 ENGLISH AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462013912",
            "telephone_number": "317-434-5973",
            "fax_number": "770-872-8267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC COMMUNITY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-14",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "678-237-7183",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSN, FNPC"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Abbott
• Matthew David Abbott, MD
• Shannon Gailya Abbott
• Tricia Abbott
• Abc at Home Care LLC
• Sujood Abdalla
• Ahmed H Abdel Rahman, MD
• Sarah Ali Abdel-Mageed, MD
• Eman Abdelghani, M.D
• Khaled Hassan Abdeljawad, M.D

• Community Health Worker in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Community Health Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; 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.