VALLEY SKILL CENTER, INC. (NPI# 1053613448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053613448 |
Entity Type | Organization |
Organization Name | VALLEY SKILL CENTER, INC. |
Practice Address |
3538 N Fireweed Fields Drive Wasilla AK 99654 |
Mailing Address |
Po Box 870442 Wasilla AK 99687-0442 |
Practice Telephone | 9073574156 |
Practice Fax Number | 9073574146 |
Mailing Telephone | 9073574156 |
Mailing Fax Number | 9073574146 |
Enumeration Date | 2010-11-17 |
Last Update Date | 2010-11-17 |
Authorized Official Name | BRIDGET LEE CHANCE (PRESIDENT) |
Authorized Official Telephone | 9073574156 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 385HR2055X |
Respite Care Specialization: Respite Care, Mental Illness, Child |
127961 | AK | Respite Care Facility |
Y | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
127961 | AK | Respite Care Facility |
Street Address |
3538 N FIREWEED FIELDS DRIVE |
City | WASILLA |
State | AK |
Zip Code | 99654 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487956686 | Valley Skill Center, Inc | Respite Care | 3538 N Fireweed Fields Drive, Wasilla, AK 99654 | 2010-11-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003426784 | Colleen Maggie Newcity | Case Manager/Care Coordinator | 851 Westpoint Suite 310, Wasilla, AK 99654 | 2020-08-06 |
1659995884 | Amy M Lowe | Peer Specialist | 1363 W Spuce Ave, Wasilla, AK 99654 | 2020-06-03 |
1922648690 | Achieve Medical Alaska LLC | Clinic/Center | 1981 E Palmer, Suite 230, Wasilla, AK 99654 | 2020-01-10 |
1588205538 | Juan Carlos Garcia | Physician Assistant | 950 East Bogard Road, Suite 103, Wasilla, AK 99654 | 2019-10-01 |
1427610864 | Sharon Webb | Counselor | 705 S Knik Goose Bay Rd Suite K, Wasilla, AK 99654 | 2019-07-06 |
1306401864 | Logan Lee Cook | Peer Specialist | 2953 E Fairview Loop, Wasilla, AK 99654 | 2019-05-09 |
1053883595 | Moose Creek Medical Clinic LLC | Nurse Practitioner | 2341 S. Fern St., Suite 300, Wasilla, AK 99654 | 2018-12-21 |
1487124962 | Melissa A Stevens | Massage Therapist | 2201 W That Rd, Wasilla, AK 99654 | 2018-11-28 |
1609359561 | Audrey E Beers | Midwife | 2405 S. Knik Goose Bay Rd., Wasilla, AK 99654 | 2018-09-07 |
1093297418 | Karlee Janine Mccorry | Occupational Therapist | 613 S Knik-goose Bay Rd, Wasilla, AK 99654 | 2018-09-01 |
Find all providers in zip 99654 |
Taxonomy Code | 385HR2060X |
Grouping | Respite Care Facility |
Classification | Respite Care |
Specialization | Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental retardation and/or developmental disabilities as respite for the regular caregivers. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700014727 | Graceful Living LLC | Respite Care | 6300 E 9th Ave, Anchorage, AK 99504-1720 | 2009-06-29 |
1629203450 | Graceful Living LLC | Respite Care | 6300 E 9th Ave, Anchorage, AK 99504-1720 | 2009-05-22 |
1972714780 | Personal Care | Respite Care | 2905 E 20th Ave, Anchorage, AK 99508-3304 | 2007-05-24 |
1710001300 | Personal Care | Respite Care | 2905 E 20th Ave, Anchorage, AK 99508-3304 | 2007-03-19 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.