BIRCHWOOD ASSISTED LIVING HOME, LLC (NPI# 1467095836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467095836 |
| Entity Type | Organization |
| Organization Name | BIRCHWOOD ASSISTED LIVING HOME, LLC |
| Practice Address |
19619 Crabtree St Chugiak AK 99567-5922 |
| Practice Telephone | 9075291088 |
| Mailing Telephone | 9075291088 |
| Enumeration Date | 2019-10-17 |
| Last Update Date | 2019-10-17 |
| Authorized Official Name | YAEL SARAH MARTIN HICKOK (OWNER) |
| Authorized Official Telephone | 9075291088 |
| 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 | Residential Treatment Facilities |
| Street Address |
19619 CRABTREE ST |
| City | CHUGIAK |
| State | AK |
| Zip Code | 99567-5922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326552217 | Lilian Alison Crites-flesher | Massage Therapist | 21944 Rankin Rd, Chugiak, AK 99567 | 2017-11-30 |
| 1457886368 | Deborah Joyce Forcht | Nurse Practitioner | 22525 Ursa Major Circle, Chugiak, AK 99567 | 2017-04-28 |
| 1871976662 | Aurora Advocacy LLC | Case Management | 19991 Tulwar Drive, Chugiak, AK 99567 | 2015-06-30 |
| 1497028526 | Phillip D. Courtney | Contractor | 18708 Sue Tawn Drive, Chugiak, AK 99567 | 2012-02-21 |
| 1265717540 | Aurora Borealis Assisted Living Home LLC | Assisted Living Facility | 22179 North Birchwood Loop, Chugiak, AK 99567 | 2011-10-18 |
| 1114184181 | Cs Wellness, LLC | Chiropractor | 20775 Old Glenn Highway, Chugiak, AK 99567 | 2008-05-19 |
| 1295909588 | Patricia Ann Morgan | Speech-Language Pathologist | 18618 Amonson Road, Chugiak, AK 99567 | 2008-04-17 |
| 1053505917 | Chugiak Volunteer Fire & Rescue Inc | Ambulance | 17214 Old Glenn Hwy, Chugiak, AK 99567 | 2007-09-04 |
| 1902020290 | Lorraine Fullbright | Case Manager/Care Coordinator | 18606 Old Glenn Highway, Chugiak, AK 99567 | 2007-04-11 |
| 1235273343 | Kirby W Holtman | Chiropractor | 20963 Bill Stephens Dr., Chugiak, AK 99567 | 2007-02-20 |
| Find all providers in zip 99567 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 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 |
| 1255867263 | Montana Creek Assisted Living Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19205 E Future Rd, Talkeetna, AK 99676 | 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 |
| 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.