WILLOW PERSONAL CARE ASSISTANTS, LLC


Address: Mile 69. 1 Parks Highway, Willow, AK 99688
Phone: 9074956778

WILLOW PERSONAL CARE ASSISTANTS, LLC (NPI# 1285962464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285962464
Entity Type Organization
Organization Name WILLOW PERSONAL CARE ASSISTANTS, LLC
Practice Address Mile 69. 1 Parks Highway
Willow
AK 99688
Mailing Address Po Box 624
Willow
AK 99688-0624
Practice Telephone 9074956778
Practice Fax Number 9074956779
Mailing Telephone 9074956778
Mailing Fax Number 9074956779
Enumeration Date 2009-11-25
Last Update Date 2009-11-25
Authorized Official Name MR. THOMAS DAHLEN (OWNER)
Authorized Official Telephone 9074956778
Authorized Official Credential MBA, CNA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 253Z00000X In Home Supportive Care Agencies

Office Location

Street Address MILE 69. 1 PARKS HIGHWAY
City WILLOW
State AK
Zip Code 99688

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912381658 Jason M. Lane Dds, LLC Dentist 23375 W Beluga Ave, Suite B, Willow, AK 99688 2015-07-13
1285958637 Sandi J Farris Veterinarian 13355 W Fowler Cir, Willow, AK 99688 2010-03-15
1265684112 Bal, Inc Transportation Broker 32250 West Parks Highway, Willow, AK 99688 2008-10-22
1770606030 Virginia N Wodkowski Assisted Living Facility 24572 W Lucky Shot Trail, Willow, AK 99688 2007-04-09
1619955606 Jose Primo N Anzilotti General Practice Parks Highway Mile 69.1, Willow, AK 99688 2006-01-09
1376708347 Sharon L Hart Physician Assistant Mile 69.1 Parks Highway, Willow, AK 99688 2008-07-18
1699923714 Christa M Andrews Licensed Practical Nurse Mile 67 Parks Hwy & Nancy Lake Pkwy, Willow, AK 99688-0000 2008-09-03
1558854950 Lisa Rene Schooler-nuss Day Training/Habilitation Specialist 26526 W. Beryozova Dr., Willow, AK 99688-0109 2018-06-11
1982721981 Jose Primo N Anzilotti General Practice Mile 69.1 Parks Highway, Willow, AK 99688-0349 2007-03-23
1316245517 Frances Diana Walker In Home Supportive Care 19697 E. Passthebait Ave, Talkeetna, AK 99688-0513 2011-03-11
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Taxonomy Information

Taxonomy Code 253Z00000X
Grouping Agencies
Classification In Home Supportive Care

Taxonomy Definition

An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1144834706 Kenai Peninsula Human Services Center In Home Supportive Care 35920 Sterling Hwy, Sterling, AK 99672-9520 2020-09-01
1073147815 Liahona LLC In Home Supportive Care 35557 Kenai Spur Highway, Soldotna, AK 99669-7625 2020-03-02
1205467735 Serendipity Care Services, LLC In Home Supportive Care 11901 Business Blvd Ste 1-2, Eagle River, AK 99577-7701 2020-02-03
1346870474 Halo 'llc' In Home Supportive Care 5001 Arctic Blvd Ste 101, Anchorage, AK 99503-7068 2020-01-16
1619450236 Act Care Providers LLC In Home Supportive Care 2907 Iris Dr, Anchorage, AK 99517-3288 2018-09-10
1003393356 Sherab Tenzin In Home Supportive Care 4156 Checkmate Dr, Anchorage, AK 99508-5731 2018-07-19
1184111395 Immaculated Concepcion In Home Supportive Care 1836 Laura Cir, Anchorage, AK 99508-3516 2018-04-13
1720537707 Pribbenow Place In Home Supportive Care 1115 Walnut Ave, Kenai, AK 99611-7506 2016-10-01
1326593047 Sdx Home Care Operations, LLC In Home Supportive Care 7985 E 16th Ave Ste 201, Anchorage, AK 99504-2896 2016-08-23
1003274978 Williams Reid Alh In Home Supportive Care 1830 Twining Dr, Anchorage, AK 99504-3041 2016-02-05
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City WILLOW
Zip Code 99688

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Dataset Information

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.

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