MRS. SHELLIE IRENE HICKOK (NPI# 1639412950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639412950 |
| Entity Type | Individual |
| Full Name | MRS. SHELLIE IRENE HICKOK |
| Practice Address |
6074 Doncaster Dr Anchorage AK 99504-3234 |
| Practice Telephone | 9072740060 |
| Mailing Telephone | 9072740060 |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2013-04-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| 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 |
6074 DONCASTER DR |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99504-3234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346661030 | The Hickok Alh | Day Training, Developmentally Disabled Services | 6074 Doncaster Dr, Anchorage, AK 99504-3234 | 2013-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962011593 | Deyoung Dentistry, LLC | Clinic/Center | 2601 Boniface Parkway Suite 1, Anchorage, AK 99504 | 2020-07-29 |
| 1881257475 | Tirzah Shelton | Psychologist | Veteran Affairs Clinic, 1201 North Muldoon, Anchorage, AK 99504 | 2019-04-18 |
| 1831651652 | Mekennah Ward | Massage Therapist | 7731 Northern Lights Blvd, #220, Anchorage, AK 99504 | 2019-04-01 |
| 1952883266 | Quality & Quantity Care Services LLC | Custodial Care Facility | 848 Elaine Dr, Anchorage, Ak, 99504, The Same, Anchorage, AK 99504 | 2018-09-04 |
| 1659858587 | Chloe Janelle Escalante | Psychologist | 511 Oaklahoma St., Apt 2, Anchorage, AK 99504 | 2018-07-24 |
| 1184100141 | Haa LLC | Durable Medical Equipment & Medical Supplies | 1409 Twining Dr, Anchorage, AK 99504 | 2018-07-12 |
| 1831626225 | Christian Wilfred, Thomas Garrett | Social Worker | 1201 N Mulddon Rd, Anchorage, AK 99504 | 2017-05-16 |
| 1609309954 | Rowena R Jones | Assisted Living Facility | 4009 Scenic View, Anchorage, AK 99504 | 2017-04-04 |
| 1982156733 | Agape Care Coordination LLC | Case Manager/Care Coordinator | 2050 Paxson Dr., Anchorage, AK 99504 | 2016-10-27 |
| 1649626169 | Pa Lou Vang | Registered Nurse | 7404 E 4th Ave Unit B, Anchorage, AK 99504 | 2016-05-13 |
| Find all providers in zip 99504 | ||||
| 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 |
| 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 |
| 1508189945 | Professional Care Service | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1743 Minerva Way, Same, Anchorage, AK 99515-1490 | 2010-03-11 |
| Find all providers in ANCHORAGE | ||||
Please comment or provide details below to improve the information on MRS. SHELLIE IRENE HICKOK.
| 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.