Organization Active NPI

Alliance Family Services, Inc.

  • Community/Behavioral Health Agency
  • Twin Falls, ID
National Provider Identifier
1104942218
Registry record updated Jul 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ALLIANCE FAMILY SERVICES, INC.
Practice address
550 Polk St
Suite a
Twin Falls, ID 83301
Phone
(208) 734-9619
Fax
(208) 734-9441
NPI assigned
Mar 21, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mrs. Stacy Ann Stephens, LCSWNPI 1447692058
Title
Owner
Phone
(208) 737-0572

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 19

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20140715001440 ID Part B Supplier - Clinic/Group Practice 6800011438 Receives reassigned benefits from 10 practitioners
Practice locations: Twin Falls, ID

National Provider Directory

National Provider Directory

Locations

202 14th Ave E
#58
Gooding, ID 83330
Phone (208) 737-0572

141 Citation Way
Unit 5
Hailey, ID 83333
Phone (208) 578-2222

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary practice location

550 Polk St
Suite a
Twin Falls, ID 83301

Mailing address

550 Polk St
Suite a
Twin Falls, ID 83301
Phone (208) 737-0572

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
805539300MedicaidID

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 25, 2018.

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532476800000",
    "number": "1104942218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 POLK ST",
            "address_2": "SUITE A",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "83301",
            "telephone_number": "208-737-0572",
            "fax_number": "208-734-9441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 POLK ST",
            "address_2": "SUITE A",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "83301",
            "telephone_number": "208-734-9619",
            "fax_number": "208-734-9441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE FAMILY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2018-07-25",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-737-0572",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805539300",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.