NPIMap

Organization Active NPI

Ace-Agency for Community Empowerment , Inc.

  • Community/Behavioral Health Agency
  • Jacksonville, FL
National Provider Identifier
1245568930
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ACE-AGENCY FOR COMMUNITY EMPOWERMENT , INC.
Practice address
5730 Bowden Rd
Suite 206
Jacksonville, FL 32216-6104
Phone
(904) 551-0760
NPI assigned
Nov 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2013

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

Authorized official

Name
Mrs. Brenda Leigh Shephard
Title
Vice President/Treasurer of Bod
Phone
(904) 551-0760

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

5730 Bowden Rd
Suite 206
Jacksonville, FL 32216-6104

Mailing address

5730 Bowden Rd
Suite 206
Jacksonville, FL 32216-6104
Phone (904) 551-0760

Other identifiers 3

IdentifierTypeStateIssuer
000985801MedicaidFL
000985800MedicaidFL
002066400MedicaidFL

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 8

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": "1258502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380067200000",
    "number": "1245568930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 BOWDEN RD",
            "address_2": "SUITE 206",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166104",
            "telephone_number": "904-551-0760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5730 BOWDEN RD",
            "address_2": "SUITE 206",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166104",
            "telephone_number": "904-551-0760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACE-AGENCY FOR COMMUNITY EMPOWERMENT , INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-18",
        "last_updated": "2013-09-25",
        "status": "A",
        "authorized_official_last_name": "SHEPHARD",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "VICE PRESIDENT/TREASURER OF BOD",
        "authorized_official_telephone_number": "904-551-0760",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000985801",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000985800",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002066400",
            "state": "FL"
        }
    ],
    "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 Sep 25, 2013; 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.