Providence Human Services of Wa

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PROVIDENCE HUMAN SERVICES OF WA

Doing business as

ACES Community Services

Practice address

1700 E Schneidmiller Ave
Post Falls, ID 83854-7085

Phone

(208) 619-0190

Fax

(208) 619-0195

NPI assigned

Aug 4, 2014

Organization subpart

Yes

Parent organization

THE PROVIDENCE SERVICE CORPORATIONAs reported in NPPES

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

Authorized official

Name

Amika Dupree

Title

Director of Operations

Phone

(208) 619-0190

Specialties & licenses 1

Addresses

Other names 1

• ACES Community Services Doing business as

Part of

Providence Human Services of Wa

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

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407110400000",
    "number": "1114336237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E SCHNEIDMILLER AVE",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838547085",
            "telephone_number": "208-619-0190",
            "fax_number": "208-619-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E SCHNEIDMILLER AVE",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838547085",
            "telephone_number": "208-619-0190",
            "fax_number": "208-619-0195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE HUMAN SERVICES OF WA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE PROVIDENCE SERVICE CORPORATION",
        "enumeration_date": "2014-08-04",
        "last_updated": "2014-08-04",
        "status": "A",
        "authorized_official_last_name": "DUPREE",
        "authorized_official_first_name": "AMIKA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "208-619-0190"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACES Community Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Post Falls Physical Therapy LLC
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• Trevor Prater, DC
• Megan Price, PTA
• Patricia Ann Provine, OTR
• Psychiatric Resilience LLC
• Michael Gregory Pugsley-Christensen, M.D.
• Lauren Alexandria Purcell
• Tracy Marie Purdy, MS CCC-SLP

• Community/Behavioral Health Agency in Post Falls, ID
• Providers in Post Falls, ID by specialty
• Community/Behavioral Health Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; 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.