BABA SY (NPI# 1417389511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417389511 |
| Entity Type | Individual |
| Full Name | BABA SY |
| Practice Address |
3760 W 74th Ave Anchorage AK 99502-2862 |
| Mailing Address |
2025 E 73rd Ave Apt 1 Anchorage AK 99507-2789 |
| Practice Telephone | 9073500061 |
| Practice Fax Number | 9078681592 |
| Mailing Telephone | 9072226855 |
| Mailing Fax Number | 9072222653 |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2020-07-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
978570 | AK | Behavioral Health & Social Service Providers |
| Y | 372500000X | Chore Provider | AK | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | 1417389511 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2025 E 73rd Ave Apt 1, Anchorage, AK 995072789 | 9072226855 | 9072222653 |
| Street Address |
3760 W 74TH AVE |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99502-2862 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508474610 | Dabakh Assisted Living Home | Assisted Living Facility | 3760 W 74th Ave, Anchorage, AK 99502-2862 | 2020-07-15 |
| 1417389420 | Alliance of Three Hearts, LLC | Assisted Living Facility | 3760 W 74th Ave, Anchorage, AK 99502-2862 | 2013-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073157897 | Thelma Desjarlais | Case Manager/Care Coordinator | 9201 Shorecrest Drive, Anchorage, AK 99502 | 2019-11-05 |
| 1659851038 | Vonice LLC | Pharmacy | 4311 W Lake Cir, Anchorage, AK 99502 | 2018-08-15 |
| 1447736798 | Kelly Wilson | Assisted Living Facility | 8848 Gloralee St, Anchorage, AK 99502 | 2018-07-18 |
| 1912405770 | In His Image LLC | Custodial Care Facility | 2253 Mistybrook Cir, Anchorage, AK 99502 | 2018-01-26 |
| 1316344963 | Alaska Regional Life Flight Corporation | Ambulance | 3474 Old International Airport Road, Anchorage, AK 99502 | 2014-11-25 |
| 1164827101 | Dante Kun | Counselor | 8000 West End Rd. (pt. Woronzof), Anchorage, AK 99502 | 2014-11-04 |
| 1407256357 | Kayli Ellingson | Pharmacist | 7020 Northwood Drive, 102, Anchorage, AK 99502 | 2014-08-28 |
| 1801168620 | Mckenzie Assisted Living | Clinic/Center | 8812 Hamlet Circle, 8812 Hamlet Circle, Anchorage, AK 99502 | 2012-02-09 |
| 1568623106 | South Anchorage Dental Clinic LLC | Dental Assistant | 9170 Jewel Lake Road, Suite 201, Anchorage, AK 99502 | 2008-06-17 |
| 1154580611 | Tonia Marie Taylor | Assisted Living Facility | 2821 Ruby Drive, Anchorage, AK 99502 | 2008-06-09 |
| Find all providers in zip 99502 | ||||
| Taxonomy Code | 372500000X |
| Grouping | Nursing Service Related Providers |
| Classification | Chore Provider |
| An individual who provides home maintenance services required to sustain a safe, sanitary living environment for individuals who because of age or disabilities is unable to perform the activities. These services include heavy household chores such as washing floors, windows, and walls; tacking down loose rugs and tiles; and moving heavy items of furniture in order to provide safe access and egress. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205111903 | Wilmer Ralph Cartonio | Chore Provider | 6637 Winchester St, Anchorage, AK 99507 | 2011-10-14 |
| 1336448752 | Sonia Maricruz Hernandez | Chore Provider | 1399 W 34th Ave Ste 101, Anchorage, AK 99503-3659 | 2011-03-24 |
| 1508075979 | Robert E. Merriouns | Chore Provider | 1407 Nelchina St, Anchorage, AK 99501-5535 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427484419 | Bonnie Smith | Chore Provider | 39065 Red Hill Street, Sterling, AK 99672 | 2013-09-23 |
| 1568631851 | Virginia Paul | Chore Provider | 700 Chief Eddie Hoffman Hwy, Bethel, AK 99559-0287 | 2008-02-21 |
| 1689861031 | Leeanna M Kozevnikoff | Chore Provider | 700 Chief Eddie Hoffman Hwy, Bethel, AK 99559-0287 | 2007-10-01 |
| 1770773053 | Annie Smith | Chore Provider | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559-0287 | 2007-08-01 |
| 1669662557 | Darline M Kiunya | Chore Provider | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559-0528 | 2007-07-27 |
| 1265622351 | Sharon Alexie | Chore Provider | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559-0287 | 2007-07-26 |
| 1194915132 | Debra Kompkoff | Chore Provider | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559-0287 | 2007-07-26 |
| 1740494319 | Elizabeth Smith | Chore Provider | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559-0287 | 2007-05-10 |
| 1568676476 | Lena Sharp | Chore Provider | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559-0287 | 2007-05-09 |
| 1336353374 | Natalia Heckman | Chore Provider | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559-0287 | 2007-05-09 |
| Find all providers with the same taxonomy | ||||
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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.