NPIMap

Organization Active NPI

Alternative Community Enrichment Services, Inc.

Doing business as ACES Community

  • Social Worker
  • Wallace, ID
National Provider Identifier
1174767180
Registry record updated Mar 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
ALTERNATIVE COMMUNITY ENRICHMENT SERVICES, INC.
Doing business as
ACES Community
Practice address
609 Bank Street
Wallace, ID 83873
Phone
(208) 556-0960
Fax
(208) 752-1048
NPI assigned
Apr 22, 2009
Last updated
Mar 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2011

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

Authorized official

Name
Michelle Wood
Title
Operations Manager
Phone
(208) 292-2188

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Social Worker 104100000X ID Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

609 Bank Street
Wallace, ID 83873

Mailing address

1417 N 4TH Street
Ste. 100
Coeur D Alene, ID 83814
Phone (208) 292-2188

Other identifiers 8

IdentifierTypeStateIssuer
1093935728MedicaidID
1689689085MedicaidID
1912127648MedicaidID
1548414519MedicaidID
1477629996MedicaidID
1669672689MedicaidID
1215055868MedicaidID
1295956266MedicaidID

Other names 1

  • ACES Community Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Alternative Community Enrichment Services Inc16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

Locations

1417 N 4th St
Ste 100
Coeur D Alene, ID 83814

NPI Registry JSON

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299801600000",
    "number": "1174767180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 N 4TH STREET",
            "address_2": "STE. 100",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "83814",
            "telephone_number": "208-292-2188",
            "fax_number": "208-292-2189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 BANK STREET",
            "city": "WALLACE",
            "state": "ID",
            "postal_code": "83873",
            "telephone_number": "208-556-0960",
            "fax_number": "208-752-1048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTERNATIVE COMMUNITY ENRICHMENT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-22",
        "last_updated": "2011-03-11",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "208-292-2188"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093935728",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689689085",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912127648",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548414519",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477629996",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669672689",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215055868",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295956266",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACES Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wallace, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2011; 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.