Active NPI
Ab Compassionate Services
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Orlando, FL
National Provider Identifier
1639818859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- AB COMPASSIONATE SERVICES
- Practice address
- 1224 Carlsbad PL
Orlando, FL 32808-7312 - Phone
- (321) 594-0057
- NPI assigned
- Jun 4, 2022
- Last updated
- Jun 4, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Andrew Brokenborough
- Title
- Owner
- Phone
- (321) 594-0057
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | NU | Primary |
Addresses
Primary practice location
1224 Carlsbad PL
Orlando, FL 32808-7312
Mailing address
5942 Park Hamilton Blvd Apt 40
Orlando, FL 32808-4117
Phone (321) 594-0057
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1654300800000",
"number": "1639818859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5942 PARK HAMILTON BLVD APT 40",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328084117",
"telephone_number": "321-594-0057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1224 CARLSBAD PL",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328087312",
"telephone_number": "321-594-0057"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AB COMPASSIONATE SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-04",
"last_updated": "2022-06-04",
"certification_date": "2022-05-26",
"status": "A",
"authorized_official_last_name": "BROKENBOROUGH",
"authorized_official_first_name": "ANDREW",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "321-594-0057",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1053",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
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- A2N Group LLC (Accessible Home Health Care of Orlando)
- A2Z Medical Services, LLC
- Aaa Physicians Group
- Aasbury Assisted Living Facility
- Ab Tel Med
- ABA Alliance Therapy LLC (ABA Alliance Therapy)
- ABA Anywhere
- ABA Behavior Support Services Inc
- ABA Compass Therapy Services Corp
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.