YOUTH ADVOCATES OF SITKA, INC (NPI# 1629282173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629282173 |
| Entity Type | Organization |
| Organization Name | YOUTH ADVOCATES OF SITKA, INC |
| Other Organization Name | HANSON HOUSE |
| Practice Address |
216 Lance Dr Sitka AK 99835-9749 |
| Mailing Address |
Po Box 664 Sitka AK 99835-0664 |
| Practice Telephone | 9077473682 |
| Practice Fax Number | 9077473627 |
| Mailing Telephone | 9077473687 |
| Mailing Fax Number | 9077473627 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DAVID VOLUCK (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9077473687 |
| Authorized Official Credential | J.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | AK | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | BR0003 | 05 |
| Other Name | Type Code |
|---|---|
| Hanson House | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174735575 | Youth Advocates of Sitka, Inc | Community/Behavioral Health | 408 Oja Way, Sitka, AK 99835-7622 | 2007-05-06 |
| 1356555809 | Youth Advocates of Sitka, Inc | Clinic/Center | 408 Oja Way, Sitka, AK 99835-7622 | 2007-05-10 |
| Street Address |
216 LANCE DR |
| City | SITKA |
| State | AK |
| Zip Code | 99835-9749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268116 | Rodney Ray Racaza | Pharmacist | 222 Tongass Drive Pharmacy, Sitka, AK 99835 | 2020-09-01 |
| 1003462052 | Tiffany Marie Johnson | Nurse's Aide | 1209 Seward Ave., Sitka, AK 99835 | 2019-08-15 |
| 1841843794 | Southeast Alaska Regional Health Consortium | Community/Behavioral Health | 1200 Seward Avenue, Sitka, AK 99835 | 2019-07-19 |
| 1992358840 | Southeast Alaska Regional Health Consortium | Community/Behavioral Health | 1212 Seward Avenue, Sitka, AK 99835 | 2019-07-19 |
| 1154973857 | Jeffrey Mossige | Counselor | Searhc - Raven's Way 222 Tongass Dr., Sitka, AK 99835 | 2019-07-12 |
| 1689194599 | Heather Chandler | Social Worker | 113 Metlakatla Steet, Sitka, AK 99835 | 2017-06-21 |
| 1730548462 | Southeast Alaska Regional Health Consortium | Medicare Defined Swing Bed Unit | 222 Tongass Blvd, Sitka, AK 99835 | 2016-02-23 |
| 1275967291 | Debra R Wilson | Registered Nurse | 222 Tongass Airport Road, Sitka, AK 99835 | 2013-08-27 |
| 1700167830 | Allison Richmond Allen | Physical Therapy Assistant | 12 Lifesaver Drive, Sitka, AK 99835 | 2011-09-02 |
| 1023336617 | Hollie E Mulanax | Community Health Worker | 408 Lake Street #2, Sitka, AK 99835 | 2010-05-07 |
| Find all providers in zip 99835 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228177 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 8460 Rainbow Row, Juneau, AK 99801-9041 | 2020-06-03 |
| 1447874631 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10815 Black Bear Rd, Juneau, AK 99801-8783 | 2020-06-03 |
| 1043834245 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10685 Mendenhall Loop Rd, Juneau, AK 99801 | 2020-06-03 |
| 1295359511 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10801 Black Bear Rd, Juneau, AK 99801 | 2020-06-02 |
| 1700400033 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10685 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-02 |
| 1417502998 | Christopher Robert Jackson | Residential Treatment Facility, Emotionally Disturbed Children | 1502 Liatris Ln, North Pole, AK 99705-5082 | 2019-08-01 |
| 1326396821 | Presbyterian Hospitality House | Residential Treatment Facility, Emotionally Disturbed Children | 2771 E Hiawatha Dr, Wasilla, AK 99654-2853 | 2012-08-15 |
| 1598013096 | Presbyterian Hospitality House | Residential Treatment Facility, Emotionally Disturbed Children | 1145 W Granville St, Palmer, AK 99645-7118 | 2012-08-15 |
| 1639425812 | Presbyterian Hospitality House | Residential Treatment Facility, Emotionally Disturbed Children | 6969 S Hood Ct, Wasilla, AK 99624 | 2012-07-25 |
| 1457528366 | Boys and Girls Home of Alaska | Residential Treatment Facility, Emotionally Disturbed Children | 3101 Lathrop Street, Fairbanks, AK 99707-0870 | 2008-05-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on YOUTH ADVOCATES OF SITKA, INC.
| 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.