ALZHEIMER'S DISEASE RESOURCE AGENCY OF ALASKA, INC. (NPI# 1316151095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316151095 |
| Entity Type | Organization |
| Organization Name | ALZHEIMER'S DISEASE RESOURCE AGENCY OF ALASKA, INC. |
| Practice Address |
1750 Abbott Rd Anchorage AK 99507-3443 |
| Practice Telephone | 9075613313 |
| Practice Fax Number | 9075613315 |
| Mailing Telephone | 9075613313 |
| Mailing Fax Number | 9075613315 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. DULCE NOBRE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9075613313 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| X | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers | ||
| X | 385H00000X | Respite Care | Respite Care Facility |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | CM5282 | 05 | |
| AK | CM5452 | 05 | |
| AK | CM3745 | 05 | |
| AK | CM8386 | 05 | |
| AK | PCG736 | 05 | |
| AK | CM7271 | 05 | |
| AK | CM6608 | 05 | |
| AK | HC7736 | 05 | |
| AK | CM3752 | 05 | |
| AK | CM5237 | 05 | |
| AK | CMG736 | 05 |
| Street Address |
1750 ABBOTT RD |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99507-3443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851952659 | Sarah Blastick | Case Manager/Care Coordinator | 1750 Abbott Rd, Anchorage, AK 99507-3450 | 2019-06-24 |
| 1053891630 | Hannah Yoter | Case Manager/Care Coordinator | 1750 Abbott Rd, Anchorage, AK 99507-3450 | 2018-08-14 |
| 1578053500 | Debra Burt | Case Manager/Care Coordinator | 1750 Abbott Rd, Anchorage, AK 99507-3450 | 2018-05-15 |
| 1154821601 | Rachel Lynn Villanueva | Case Manager/Care Coordinator | 1750 Abbott Rd, Anchorage, AK 99507-3450 | 2018-02-20 |
| 1538604897 | Vita Castellana | Case Manager/Care Coordinator | 1750 Abbott Rd, Anchorage, AK 99507-3450 | 2016-12-22 |
| 1376094045 | Kathleen Day | Case Manager/Care Coordinator | 1750 Abbott Rd, Anchorage, AK 99507-3450 | 2016-10-18 |
| 1275936767 | Valerie Brogden | Case Manager/Care Coordinator | 1750 Abbott Rd, Anchorage, AK 99507-3450 | 2014-09-29 |
| 1396151239 | Kelsey Youngs | Case Manager/Care Coordinator | 1750 Abbott Rd, Anchorage, AK 99507-3450 | 2014-07-10 |
| 1710228580 | Amy Young | Case Manager/Care Coordinator | 1750 Abbott Rd, Anchorage, AK 99507-3443 | 2013-03-04 |
| 1881946606 | Sue Samet | Case Manager/Care Coordinator | 1750 Abbott Rd, Anchorage, AK 99507-3443 | 2012-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634233 | Mackena Elsie Johnson | Massage Therapist | Sports & Spinal Injury Clinic, 6634 Lake Otis Pkwy #a, Anchorage, AK 99507 | 2020-09-23 |
| 1710599808 | Abracadabra Speech LLC | Speech-Language Pathologist | 6823 Tudor Road, Anchorage, AK 99507 | 2020-08-19 |
| 1487111241 | Fe Comon | Nursing Home Administrator | 1841 E 57th Ave., 1841 E 57th Ave., Anchorage, AK 99507 | 2019-02-27 |
| 1780171249 | Carol Won | Pharmacist | 2550 E. 88th Ave., Anchorage, AK 99507 | 2018-04-19 |
| 1821549411 | Isioma Nwaeme | Registered Nurse | 2529 Rives Court, Anchorage, AK 99507 | 2016-10-18 |
| 1669921268 | Michaelyn Scott | Massage Therapist | 1601 E. Dimond Blvd., Suite 201, Anchorage, AK 99507 | 2016-09-25 |
| 1013387638 | Robert R Croley | Case Manager/Care Coordinator | 1515 E Tudor Rd Ste 6, Anchorage, AK 99507 | 2015-09-25 |
| 1124494265 | Ryan Scott Fordt | Chiropractor | 2665 E Tudor Rd Ste 201, Anchorage, AK 99507 | 2015-08-12 |
| 1073907465 | Sarah E Lawrence | Case Manager/Care Coordinator | 1750 Abbott Road, Alzheimer's Resource of Alaska, Anchorage, AK 99507 | 2015-03-24 |
| 1699184507 | Melissa Lingad | Nurse's Aide | 7691 Winchester St., Anchorage, AK 99507 | 2014-08-05 |
| Find all providers in zip 99507 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710597679 | Holly Reynoso | Case Manager/Care Coordinator | 14232 Snowdrift Way, Anchorage, AK 99515-4165 | 2020-08-05 |
| 1588272157 | Far North Care Coordination Agency | Case Manager/Care Coordinator | 2230 Sentry Dr Apt B308, Anchorage, AK 99507-4688 | 2020-07-20 |
| 1518581834 | Eric Edward Villasenor | Case Manager/Care Coordinator | 1515 E Tudor Rd Ste 9a, Anchorage, AK 99507-1036 | 2020-06-02 |
| 1982225934 | Rebecca Cho | Case Manager/Care Coordinator | 7556 Tarsus Dr, Anchorage, AK 99502-1888 | 2020-04-30 |
| 1396365086 | Kaleidoscope Care Coordination LLC | Case Manager/Care Coordinator | 6534 Mulberry Dr, Anchorage, AK 99502-2160 | 2020-04-22 |
| 1982232856 | Galina B Turnipseed | Case Manager/Care Coordinator | 1515 E Tudor Rd Ste 9, Anchorage, AK 99507-1036 | 2020-03-27 |
| 1407496862 | Anchorage Care Coordination, LLC | Case Manager/Care Coordinator | 11761 Spyglass Cir, Anchorage, AK 99515-2706 | 2020-01-13 |
| 1073157897 | Thelma Desjarlais | Case Manager/Care Coordinator | 9201 Shorecrest Drive, Anchorage, AK 99502 | 2019-11-05 |
| 1194366070 | Sean Alyston Sullivan | Case Manager/Care Coordinator | 1645 Mountainman Loop, Anchorage, AK 99507-1975 | 2019-10-02 |
| 1164072088 | Carolyn Palembas | Case Manager/Care Coordinator | 1905 E 4th Ave, Anchorage, AK 99501-2908 | 2019-09-12 |
| Find all providers in ANCHORAGE | ||||
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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.