Provider Demographics
NPI:1982851218
Name:ACN NURSING SERVICES, INC.
Entity Type:Organization
Organization Name:ACN NURSING SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:BALLINGER
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:208-660-4831
Mailing Address - Street 1:30721 N OSPREY RD
Mailing Address - Street 2:
Mailing Address - City:SPIRIT LAKE
Mailing Address - State:ID
Mailing Address - Zip Code:83869-9756
Mailing Address - Country:US
Mailing Address - Phone:208-660-4831
Mailing Address - Fax:
Practice Address - Street 1:30721 N OSPREY RD
Practice Address - Street 2:
Practice Address - City:SPIRIT LAKE
Practice Address - State:ID
Practice Address - Zip Code:83869-9756
Practice Address - Country:US
Practice Address - Phone:208-660-4831
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-18
Last Update Date:2008-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID251B00000X, 251E00000X, 251J00000X, 347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251B00000XAgenciesCase Management
No251J00000XAgenciesNursing Care
No347C00000XTransportation ServicesPrivate Vehicle