MANIILAQ ASSOCIATION (NPI# 1730481334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730481334 |
| Entity Type | Organization |
| Organization Name | MANIILAQ ASSOCIATION |
| Practice Address |
733 Second Avenue Ferguson Building Kotzebue AK 99752-0256 |
| Mailing Address |
#256 2nd Avenue F.r.ferguson Building Kotzebue AK 99752-0256 |
| Practice Telephone | 9074423321 |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2010-12-02 |
| Authorized Official Name | MR. IAN ERLICH (PRESIDENT/CEO) |
| Authorized Official Telephone | 9074423312 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320700000X | Residential Treatment Facility, Physical Disabilities | RL3590 | AK | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376810937 | Maniilaq Association | Clinic/Center | 80 Back St., Shungnak, AK 99773-0080 | 2011-11-28 |
| 1700153442 | Maniilaq Association | Clinic/Center | 8 Bering St., Kivalina, AK 99750-0008 | 2011-11-23 |
| 1265709901 | Maniilaq Association | Clinic/Center | 51003 Main St., Kobuk, AK 99751-0003 | 2011-11-23 |
| 1639446347 | Maniilaq Association | Clinic/Center | 9 Hillside Rd., Buckland, AK 99727-0009 | 2011-11-23 |
| 1639446362 | Maniilaq Association | Clinic/Center | 90 Aaksaik Rd., Noatak, AK 99761-0090 | 2011-11-23 |
| 1285901918 | Maniilaq Association | Clinic/Center | 1729 Qalgi Ave., Pt. Hope, AK 99766-0049 | 2011-11-23 |
| 1720355456 | Maniilaq Association | Clinic/Center | 1897 Tundra Way, Noorvik, AK 99763-0189 | 2011-11-23 |
| 1255608998 | Maniilaq Association | Clinic/Center | 130 Casanoff Way, Kiana, AK 99749-0130 | 2011-11-23 |
| 1821365552 | Maniilaq Association | Clinic/Center | #3 Adams Landing-old, Selawik, AK 99770 | 2011-11-23 |
| 1518240084 | Maniilaq Association | Skilled Nursing Facility | 436 Mission St, Kotzebue, AK 99752-0510 | 2011-09-21 |
| Street Address |
733 SECOND AVENUE FERGUSON BUILDING |
| City | KOTZEBUE |
| State | AK |
| Zip Code | 99752-0256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639784861 | Yvette Elizabeth Shoulders | Social Worker | 733 Second Avenue, Frank R. Ferguson Building, Kotzebue, AK 99752 | 2020-09-14 |
| 1457916926 | Kayleen Jennifer Sheldon | Counselor | 733 Second Avenue, Kotzebue, AK 99752 | 2019-05-09 |
| 1215430350 | Ashley Evelyn Nies | Counselor | 733 Second Avenue, Kotzebue, AK 99752 | 2018-03-15 |
| 1881046001 | Florence Nolton | Counselor | 733 Second Avenue, Kotzebue, AK 99752-0256 | 2016-07-12 |
| 1013284017 | Erik Edenshaw | Counselor | 733 Second Avenue, Kotzebue, AK 99752-0571 | 2011-11-19 |
| 1336440684 | De-an Watkins | Counselor | 733 Second Avenue, Kotzebue, AK 99752-0256 | 2010-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770103731 | Breanna Rosales | Counselor | 433 5 Th Ave, Kotzebue, AK 99752 | 2020-04-20 |
| 1679118814 | Verna Mariam Sherman | Case Manager/Care Coordinator | 733 2nd Ave., Kotzebue, AK 99752 | 2019-11-12 |
| 1568979565 | John Steven Ferraro | Counselor | 733 2'nd Ave, Kotzebue, AK 99752 | 2017-12-29 |
| 1528585494 | Guardian Flight LLC | Ambulance | Teacher Housing Apt # 18 Lagoon Street, Kotzebue, AK 99752 | 2017-08-23 |
| 1366998114 | Alaskans Changing Together, Inc. | Counselor | 241 5th Ave, Kotzebue, AK 99752 | 2016-08-31 |
| 1205236692 | Kimberly Baldwin | Dental Therapist | 436 5th Ave Ted Stevens Way, Kotzebue, AK 99752 | 2014-09-04 |
| 1811309040 | Sylvia Michelle Windham | Advanced Practice Midwife | 436 5th Avenue and Ted Stevens Way, Kotzebue, AK 99752 | 2014-05-22 |
| 1881941193 | Belynda M. Gregg | Case Manager/Care Coordinator | 256 2nd Ave, F.r. Ferguson Building, Kotzebue, AK 99752 | 2012-08-07 |
| 1689932436 | Srikanth Rao Dakoji | Family Medicine | 479 Mission St, Apt C8, Kotzebue, AK 99752 | 2012-04-30 |
| 1932434792 | Joseph E Copeland | Family Medicine | Maniilaq Healh Center, Box 43, Kotzebue, AK 99752 | 2009-10-13 |
| Find all providers in zip 99752 | ||||
| Taxonomy Code | 320700000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Physical Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982116281 | Hibiscus Assisted Living Home LLC | Residential Treatment Facility, Physical Disabilities | 2701 Wesleyan Dr # A, Anchorage, AK 99508-3771 | 2017-10-26 |
| 1356850291 | The Anchor Alh, Inc.a | Residential Treatment Facility, Physical Disabilities | 2401 Oak Drive, Anchorage, AK 99508 | 2017-09-22 |
| 1881126233 | Caring Hands and Homes | Residential Treatment Facility, Physical Disabilities | 2935 N Church Rd, Wasilla, AK 99654-4168 | 2017-04-03 |
| 1073978300 | Denali Ridge Assisted Living, LLC | Residential Treatment Facility, Physical Disabilities | 1450 N Grubstake Dr, Wasilla, AK 99654-5512 | 2015-12-31 |
| 1730504564 | Heart and Harmony,alh,llc | Residential Treatment Facility, Physical Disabilities | 4939 Folker St, Unit A, Anchorage, AK 99507-1456 | 2014-03-03 |
| 1326460387 | Colleen Mcnulty | Residential Treatment Facility, Physical Disabilities | 701 North Forest St., Kenai, AK 99611 | 2014-01-10 |
| 1790021251 | Abra Assisted Living Home | Residential Treatment Facility, Physical Disabilities | 1609 Betula Circle Ave, Anchorage, AK 99507-4126 | 2013-01-02 |
| 1790035087 | Carmelite Home | Residential Treatment Facility, Physical Disabilities | 9401 Aphrodite Dr., Anchorage, AK 99515 | 2012-09-13 |
| 1366742611 | Caring Hand In Hand Human Services LLC | Residential Treatment Facility, Physical Disabilities | 10335 Crest View Ln, Eagle River, AK 99577-8440 | 2010-11-02 |
| 1437489473 | Viktor I Goy | Residential Treatment Facility, Physical Disabilities | 2935 N. Church Rd, Wasilla, AK 99687-4999 | 2010-01-13 |
| 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.