PROFESSIONAL CARE SERVICE (NPI# 1508189945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508189945 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL CARE SERVICE |
| Practice Address |
1743 Minerva Way Same Anchorage AK 99515-1490 |
| Practice Telephone | 9073464410 |
| Practice Fax Number | 9073464410 |
| Mailing Telephone | 9073464410 |
| Mailing Fax Number | 9073464412 |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2010-03-11 |
| Authorized Official Name | MRS. JESSICA URENA I (OWNED) |
| Authorized Official Telephone | 9073464410 |
| Authorized Official Credential | 051368 |
| 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 | 928682 | AK | Residential Treatment Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Professional Care Services, LLC | 2596 N. Stokesberry Pl., Suite 180, Meridian, ID 83646 |
| Street Address |
1743 MINERVA WAY SAME |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99515-1490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699892562 | Miguel E Sanchez | Assisted Living Facility | 1743 Minerva Way, Sema, Anchorage, AK 99515-1490 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891293239 | Above The Horizon LLC | Custodial Care Facility | 3300 Amber Bay Loop, Anchorage, AK 99515 | 2018-01-31 |
| 1689103004 | Kristine Troesch | Massage Therapist | 1130 W Dimond Blvd Suite D, Anchorage, AK 99515 | 2017-06-08 |
| 1710433610 | Yichen Chung | Physical Therapist | 9500 Canton Loop, Anchorage, AK 99515 | 2016-08-30 |
| 1093185175 | Lemon Tree Family Medicine, LLC | Family Medicine | 621 W., Dimond Anchorage, AK 99515 | 2015-10-01 |
| 1861891285 | Shawna J Mcelroy | Physician Assistant | 1389 Huffman Road, #150, Anchorage, AK 99515 | 2014-08-21 |
| 1003224189 | Kelly Cutrer | Pharmacist | 12045 Brandon St, Anchorage, AK 99515 | 2014-08-01 |
| 1922419449 | Shady Cook | Case Manager/Care Coordinator | 14041 Sunview Dr., Anchorage, AK 99515 | 2014-05-19 |
| 1699119941 | Lezlee Henry-dupoux | Social Worker | 1221 Huffman Park Drive, Anchorage, AK 99515 | 2013-04-17 |
| 1790035087 | Carmelite Home | Residential Treatment Facility, Physical Disabilities | 9401 Aphrodite Dr., Anchorage, AK 99515 | 2012-09-13 |
| 1982996344 | Richard L Day, Dds, Apc | Dentist | 10998 Omalley Centre Dr., Suite A, Anchorage, AK 99515 | 2011-05-04 |
| Find all providers in zip 99515 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 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 |
| 1639412950 | Shellie Irene Hickok | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6074 Doncaster Dr, Anchorage, AK 99504-3234 | 2013-04-04 |
| 1770839110 | Ur Precious Assisted Living Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1925 Colony Pl, Anchorage, AK 99507-5395 | 2012-08-02 |
| 1790086247 | Assisted Living Transitions | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3154 Campbell Airstrip Rd, Anchorage, AK 99504-3828 | 2010-11-15 |
| 1710001706 | Personal Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2905 E 20th Ave, Anchorage, AK 99508-3304 | 2007-03-17 |
| 1619590833 | Abba Assisted Living Home, LLC. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1616 Parkway Dr, Anchorage, AK 99504-2834 | 2020-05-21 |
| 1295260404 | Nana's House | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8440 Blackberry St, Anchorage, AK 99502-5327 | 2017-04-25 |
| 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.