NPIMap

Organization Active NPI

Epic Community Services, Inc.

  • Community/Behavioral Health Agency
  • St Augustine, FL
National Provider Identifier
1619620036
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EPIC COMMUNITY SERVICES, INC.
Practice address
175 Hampton Point Drive
Suite 2
Saint Augustine, FL 32092-3119
Phone
(904) 829-2273
Fax
(904) 824-0724
NPI assigned
Jan 27, 2022
Organization subpart
Yes
Parent organization
EPIC COMMUNITY SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Authorized official

Name
Mrs. Patricia Greenough
Title
Ceo
Phone
(904) 829-2273

Specialties & licenses 1

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

Addresses

Primary practice location

175 Hampton Point Drive
Suite 2
Saint Augustine, FL 32092-3119

Mailing address

1400 Old Dixie Hwy
Suite a.
Saint Augustine, FL 32084-4190
Phone (904) 829-2273

Other identifiers 1

IdentifierTypeStateIssuer
070827500MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Epic Community Services Inc5 organizations share this tax ID, including this one
Part of
Epic Community Services Inc

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1643241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643241600000",
    "number": "1619620036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 OLD DIXIE HWY",
            "address_2": "SUITE A.",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320844190",
            "telephone_number": "904-829-2273",
            "fax_number": "904-824-0724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 HAMPTON POINT DRIVE",
            "address_2": "SUITE 2",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320923119",
            "telephone_number": "904-829-2273",
            "fax_number": "904-824-0724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIC COMMUNITY SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EPIC COMMUNITY SERVICES, INC.",
        "enumeration_date": "2022-01-27",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A",
        "authorized_official_last_name": "GREENOUGH",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-829-2273",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "070827500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.