PRIME CARE INC. (NPI# 1205050697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205050697 |
| Entity Type | Organization |
| Organization Name | PRIME CARE INC. |
| Practice Address |
3701 East Tudor Rd Suite 204 Anchorage AK 99508 |
| Mailing Address |
3701 E Tudor Rd Suite 204 Anchorage AK 99508 |
| Practice Telephone | 9073334023 |
| Practice Fax Number | 9073372079 |
| Mailing Telephone | 9073334023 |
| Mailing Fax Number | 9073372079 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. GANIYU SHITTU (DIRECTOR) |
| Authorized Official Telephone | 9073334023 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251X00000X | Supports Brokerage | PCG134 | AK | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | PRIME CARE INC. | 2008 Cloverdale Avenue, Winston Salem, NC 27103 |
| Street Address |
3701 EAST TUDOR RD SUITE 204 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
| 1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
| 1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in zip 99508 | ||||
| Taxonomy Code | 251X00000X |
| Grouping | Agencies |
| Classification | Supports Brokerage |
| A provider of service/function that assists participating individuals to make informed decisions about what will work best for them is consistent with their needs and reflects their individual circumstances. Serving as the agent of the individual, the service is available to assist in identifying immediate and long-term needs, developing options to meet those needs and accessing identified supports and services and may include assistance with recruiting, screening, hiring, and training in-home support providers. A family or person-centered planning approach is used. Supports Brokerage offers practical skills training to enable families and individuals to remain independent. Examples of skills training include providing information on recruiting and hiring personal care workers, managing personal care workers and providing information on effective communication and problem solving. The service/function provides sufficient information to assure that individuals understand the responsibilities involved with self-direction and assist in the development of an effective back-up and emergency plan. Plans may elect to fulfill the requirement of this service/function using a self-directed case manager or creating a distinct service. The Supports Brokerage documents the need for assistive services, planning for and documenting the use of excess funds and locating and maintaining services. |
| Notes: Source: CMS Independence Plus Waiver template. [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417120163 | Carenet, Inc. | Supports Brokerage | 2506 Fairbanks St, Suite B, Anchorage, AK 99503-2822 | 2008-04-02 |
| 1033319454 | Good Faith Home Health Services | Supports Brokerage | 3948 Mountain View Dr, Anchorage, AK 99508-1511 | 2007-07-24 |
| 1740403047 | Aleutian Pribilof Islands Assoc Inc | Supports Brokerage | 201 E 3rd Ave, Anchorage, AK 99501 | 2007-04-11 |
| 1386786341 | Trinion Quality Care Services, Inc. | Supports Brokerage | 3700 Woodland Drive, Suite 500, Anchorage, AK 99517-2567 | 2007-02-13 |
| 1023158284 | Vladi & Associates LLC | Supports Brokerage | 4614 E 8th Ave, Anchorage, AK 99508-2716 | 2007-02-07 |
| 1477704294 | C Care Services, LLC | Supports Brokerage | 500 E Tudor Rd, Anchorage, AK 99503-7368 | 2008-10-10 |
| 1538363411 | Compassionate and Effective Care | Supports Brokerage | 4640 Reka Dr Apt E14, Anchorage, AK 99508-3646 | 2007-06-13 |
| 1245448265 | Consumer Care Network Inc | Supports Brokerage | 440 W Benson Blvd, Suite 101, Anchorage, AK 99503-3860 | 2007-05-21 |
| 1619184306 | C Care Services, LLC | Supports Brokerage | 7049 Arctic Blvd, Anchorage, AK 99518-2149 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225228414 | C Care Services, LLC | Supports Brokerage | 991 S Hermon Rd, Suite 400 A, Wasilla, AK 99654-7312 | 2007-07-25 |
| 1407067093 | Starfish Cares LLC | Supports Brokerage | 201 E Swanson Ave, Ste. #13, Wasilla, AK 99654-7026 | 2007-05-24 |
| 1306017009 | Trinion Quality Care Services, Inc | Supports Brokerage | 1375 E Parks Hwy, Ste D4, Wasilla, AK 99654-8288 | 2008-03-20 |
| 1073714093 | Priority Home Healthcare | Supports Brokerage | 3100 Channel Dr, Suite 314, Juneau, AK 99801-7814 | 2007-05-29 |
| 1558577387 | Frontier Community Services | Supports Brokerage | 43335 Kalifornsky Beach Road, Suite 36, Soldotna, AK 99669-8280 | 2007-05-16 |
| 1316151962 | Yukon Kuskokwim Health Corporation | Supports Brokerage | 829 Chief Eddie Hoffman Hwy, Bethel, AK 99559-0528 | 2007-05-10 |
| 1235263070 | Cornerstone Home Health, Inc. | Supports Brokerage | 5636 Glacier Hwy Ste 100, Juneau, AK 99801-9508 | 2007-03-15 |
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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.