MONTANA CREEK ASSISTED LIVING HOME (NPI# 1255867263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255867263 |
Entity Type | Organization |
Organization Name | MONTANA CREEK ASSISTED LIVING HOME |
Practice Address |
19205 E Future Rd Talkeetna AK 99676 |
Mailing Address |
Po Box 735 Willow AK 99688-0735 |
Practice Telephone | 9073543441 |
Mailing Telephone | 9073543441 |
Enumeration Date | 2017-05-11 |
Last Update Date | 2017-05-11 |
Authorized Official Name | TINA MCCLUSKEY (ADMINISTRATOR) |
Authorized Official Telephone | 9073543441 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 100437 | AK | Residential Treatment Facilities |
Street Address |
19205 E FUTURE RD |
City | TALKEETNA |
State | AK |
Zip Code | 99676 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124544523 | Tina Mccluskey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19205 E Future Rd, Talkeetna, AK 99676 | 2017-08-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053935957 | Kirsten Mae Strolle | Social Worker | 34300 S. Talkeetna Spur, Talkeetna, AK 99676 | 2020-06-05 |
1215559711 | Bronson Brito | Registered Nurse | Public Health Center 7-115 Main St E, Dillingham, AK 99676 | 2020-05-07 |
1568902583 | Sunshine Community Health Center, Inc | Clinic/Center | 42728 S Parks Highway, Talkeetna, AK 99676 | 2017-02-24 |
1467991455 | Sunshine Community Health Center, Inc | Clinic/Center | 13930 E Timberwolf Loop, Talkeetna, AK 99676 | 2017-02-23 |
1831646470 | Sarah L Blanning | Social Worker | 34300 S Talkeetna Spur Road, Talkeetna, AK 99676 | 2016-09-01 |
1063797827 | George Baryon Hightower | General Practice | Hc 89 34300 S Talkeetna Spur Road, Talkeetna, AK 99676 | 2011-10-12 |
1558676262 | Sharla Rose | Massage Therapist | 14189 Woodpecker Street, Talkeetna, AK 99676 | 2010-08-18 |
1295985281 | Mark G Moren | Psychologist | 23282 S. Talkeetna Spur Road, Talkeetna, AK 99676 | 2008-09-25 |
1427242072 | Theresa Arlene Saxton | Licensed Practical Nurse | 34300 S. Talkeetna Spur Rd, C/o Sunshine Community Health Center, Talkeetna, AK 99676 | 2007-08-28 |
1164549861 | Sunshine Community Health Center | Case Management | Mile 4.5 Talkeetna Spur Road, Talkeetna, AK 99676 | 2007-03-26 |
Find all providers in zip 99676 |
Taxonomy Code | 320900000X |
Grouping | Residential Treatment Facilities |
Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124544523 | Tina Mccluskey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19205 E Future Rd, Talkeetna, AK 99676 | 2017-08-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376175075 | One Source Home Care Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9205 James Blvd Apt 102, Juneau, AK 99801-9671 | 2020-02-10 |
1467095836 | Birchwood Assisted Living Home, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19619 Crabtree St, Chugiak, AK 99567-5922 | 2019-10-17 |
1235770298 | Greater Works Caring Center, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3550 Airport Way Ste 203, Fairbanks, AK 99709-4772 | 2019-10-01 |
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 |
1255813655 | O'bies Adobe, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1790 N Centurian Pl Apt 3, Wasilla, AK 99654-5470 | 2018-08-31 |
1700312790 | Windy Ridge Assisted Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7781 W Dean Dr, Wasilla, AK 99623-0824 | 2017-05-11 |
1053852061 | Birchtree Residential Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1220 N Winding Brook Loop, Palmer, AK 99645 | 2017-03-10 |
1366990202 | Sanctuary II Alh | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8901 Lakehurst Dr Unit A, Anchorage, AK 99502-5161 | 2016-09-20 |
1295282952 | Gary Jones | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6700 Rockridge Dr, Anchorage, AK 99516-1898 | 2016-09-09 |
1093120438 | Heart of Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7038 Peck Ave, Anchorage, AK 99504-1158 | 2014-06-24 |
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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.