AIDS Care Service, Inc

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

FCL-034-034 Issued in NC

Legal business name

AIDS CARE SERVICE, INC

Practice address

127 S Poplar St
Winston Salem, NC 27101-3755

Phone

(336) 725-3555

Fax

(336) 725-8142

NPI assigned

Sep 25, 2007

Last updated

Sep 25, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Christine Jolly

Title

President

Phone

(336) 722-6909

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190678400000",
    "number": "1346437274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W 1ST ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271013612",
            "telephone_number": "336-722-6909",
            "fax_number": "336-722-6494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 S POPLAR ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271013755",
            "telephone_number": "336-725-3555",
            "fax_number": "336-725-8142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIDS CARE SERVICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2007-09-25",
        "status": "A",
        "authorized_official_last_name": "JOLLY",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-722-6909",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NC",
            "license": "FCL-034-034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIV CASE MANAGEMENT",
            "identifier": "8700459",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7803734",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Syed Rifat Ahmed, M.D.
• Christine Ahn, MD
• Elena Katharine Ahrenholz, LCSW
• Matthew Kenric Ahrenholz, MD
• Joycelyne Aidoo
• Antoinette Aiken, CADC
• Christopher Bruns Aiken, M.D.
• Darren Edwin Aiken
• Grace Michelle Aileru, D.D.S.
• Aim Human Health Services

• Nursing Care Agency in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Nursing Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; 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.