SENIOR CITIZENS OF KODIAK, INC. (NPI# 1275672370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275672370 |
| Entity Type | Organization |
| Organization Name | SENIOR CITIZENS OF KODIAK, INC. |
| Practice Address |
302 Erskine Ave Kodiak AK 99615-6341 |
| Practice Telephone | 9074866181 |
| Practice Fax Number | 9074864503 |
| Mailing Telephone | 9074866181 |
| Mailing Fax Number | 9074864503 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. PATRICIA BRANSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9074866181 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311500000X | Alzheimer Center (Dementia Center) | CMG249 | AK | Nursing & Custodial Care Facilities |
| Street Address |
302 ERSKINE AVE |
| City | KODIAK |
| State | AK |
| Zip Code | 99615-6341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376812370 | Jessica Heiller | Case Manager/Care Coordinator | 302 Erskine Ave, Kodiak, AK 99615-6341 | 2011-12-20 |
| 1982807087 | Marita - Kaplan | Case Manager/Care Coordinator | 302 Erskine Ave, Kodiak, AK 99615-6341 | 2007-06-06 |
| 1245433366 | Marlo Moore-smith | Social Worker | 302 Erskine Ave, Kodiak, AK 99615-6341 | 2007-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144864232 | Linda Irene Dunlap | Spec/Tech, Pathology | 1915 E. Remanof Drive, Kodiak, AK 99615 | 2019-10-31 |
| 1639638190 | Stephanie Brenteson | Community Health Worker | 125 Airport Way, Akhiok, AK 99615 | 2019-03-14 |
| 1609351022 | Desiree Alexis Wheeler | Optometrist | 3450 E Rezanof Dr, Kodiak, AK 99615 | 2018-10-02 |
| 1417479072 | Elaine Loomis Olsen | Case Manager/Care Coordinator | 1111 Purtov St., Kodiak, AK 99615 | 2017-07-14 |
| 1750828414 | Mary Jean Francisco | Case Manager/Care Coordinator | 717 East Rezanof Drive, Kodiak, AK 99615 | 2017-01-19 |
| 1558818112 | Carolyn Hawes | Case Manager/Care Coordinator | 717 Rezanof Dr, Kodiak, AK 99615 | 2016-09-01 |
| 1285083683 | Amanda Wilson | Community Health Worker | 124 Akhiok Street, Akhiok, AK 99615 | 2016-06-07 |
| 1447612056 | Kailee Champion | Massage Therapist | 3449 Rezanof Drive East, Kodiak, AK 99615 | 2016-03-23 |
| 1376891069 | Krystyna Mcrobert | Technician, Other | Cape Sarichef Road Bldg N46, Rockmore King Clinic, Kodiak, AK 99615 | 2012-08-28 |
| 1164778619 | Mark Anthony Johnson | Pharmacist | 3449 Rezanof Drive, Kodiak, AK 99615 | 2012-08-01 |
| Find all providers in zip 99615 | ||||
| Taxonomy Code | 311500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Alzheimer Center (Dementia Center) |
| A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer’s Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285152694 | Northern Light Adult Day Services, LLC | Alzheimer Center (Dementia Center) | 360 Boniface Pkwy # B 7/8, Anchorage, AK 99504-4900 | 2017-09-06 |
| 1982153144 | Turnagain Social Club | Alzheimer Center (Dementia Center) | 3201 Turnagain St, Anchorage, AK 99517-1848 | 2016-09-29 |
| 1740646033 | Robin Place Elder Care LLC | Alzheimer Center (Dementia Center) | 106 Robin Pl, Soldotna, AK 99669-8001 | 2016-01-03 |
| 1558631846 | The Ark LLC | Alzheimer Center (Dementia Center) | 1136 Seabreeze Ct, Homer, AK 99603-7935 | 2012-01-04 |
| 1952323859 | Providence Health & Services-washington | Alzheimer Center (Dementia Center) | 3760 Piper St, Suite 1061, Anchorage, AK 99508-4683 | 2006-07-23 |
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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.