Active NPI
Alternative Community Enrichment Services, Inc.
Doing business as ACES Community Services
- Social Worker
- Wallace, ID
National Provider Identifier
1770817967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Legal business name
- ALTERNATIVE COMMUNITY ENRICHMENT SERVICES, INC.
- Doing business as
- ACES Community Services
- Practice address
- 609 Bank Street
Wallace, ID 83873 - Phone
- (208) 556-0960
- Fax
- (208) 752-1048
- NPI assigned
- Sep 22, 2009
- Last updated
- Mar 11, 2011
- Organization subpart
- Yes
- Parent organization
- ALTERNATIVE COMMUNITY ENRICHMENT SERVICES, INC.
NPPES NPI Registry
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | ID | Primary | |
| Community/Behavioral Health Agency | 251S00000X | 251S00000X | ID | |
| Community/Behavioral Health Agency | 251S00000X | 251E00000X | ID | |
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
609 Bank Street
Wallace, ID 83873
Mailing address
1417 N 4TH Street
Coeur D Alene, ID 83814
Phone (208) 292-2188
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093935728 | Medicaid | ID | |
| 1215055868 | Medicaid | ID | |
| 1689689085 | Medicaid | ID | |
| 1174767180 | Medicaid | ID | |
| 1912127648 | Medicaid | ID | |
| 1548414519 | Medicaid | ID | |
| 1295956266 | Medicaid | ID |
Other names 1
- ACES Community Services
National Provider Directory
National Provider Directory- Part of
- Alternative Community Enrichment Services Inc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253577600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1299801600000",
"number": "1770817967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1417 N 4TH STREET",
"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": "YES",
"parent_organization_legal_business_name": "ALTERNATIVE COMMUNITY ENRICHMENT SERVICES, INC.",
"enumeration_date": "2009-09-22",
"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": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ID",
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "ID",
"license": "251S00000X",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "ID",
"license": "251E00000X",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1093935728",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1215055868",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1689689085",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1174767180",
"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": "1295956266",
"state": "ID"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ACES Community Services",
"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.