Organization Active NPI

Alternative Community Enrichment Services, Inc

Doing business as ACES Commuinty Services, INC

  • Community/Behavioral Health Agency
  • St Maries, ID
National Provider Identifier
1609167279
Registry record updated Apr 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ALTERNATIVE COMMUNITY ENRICHMENT SERVICES, INC
Doing business as
ACES Commuinty Services, INC
Practice address
622 W College Ave Ste 2
St Maries, ID 83861-1822
Phone
(208) 245-4363
Fax
(208) 245-4349
NPI assigned
Apr 29, 2011
Last updated
Apr 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2011

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X ID Primary

Addresses

Primary practice location

622 W College Ave Ste 2
St Maries, ID 83861-1822

Mailing address

1417 N 4TH St
Coeur D Alene, ID 83814-3310
Phone (208) 292-2188

Other identifiers 6

IdentifierTypeStateIssuer
808280600MedicaidID
806388100MedicaidID
808328200MedicaidID
808328100MedicaidID
808367900MedicaidID
808367901MedicaidID

Other names 1

  • ACES Commuinty Services, INC 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

NPI Registry JSON

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

{
    "created_epoch": "1304035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304035200000",
    "number": "1609167279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 N 4TH ST",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838143310",
            "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": "622 W COLLEGE AVE STE 2",
            "city": "ST MARIES",
            "state": "ID",
            "postal_code": "838611822",
            "telephone_number": "208-245-4363",
            "fax_number": "208-245-4349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTERNATIVE COMMUNITY ENRICHMENT SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-29",
        "last_updated": "2011-04-29",
        "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",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "808280600",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806388100",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "808328200",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "808328100",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "808367900",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "808367901",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACES Commuinty Services, INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Maries, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.