TANANA CHIEFS CONFERENCE (NPI# 1740531656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740531656 |
| Entity Type | Organization |
| Organization Name | TANANA CHIEFS CONFERENCE |
| Practice Address |
122 1st Ave Ste 600 Fairbanks AK 99701-4871 |
| Practice Telephone | 9074528251 |
| Mailing Telephone | 9074528251 |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2012-10-02 |
| Authorized Official Name | JERRY ISSAC (CEO) |
| Authorized Official Telephone | 9074528251 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | AK | Residential Treatment Facilities | |
| N | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
AK | Respite Care Facility | |
| Y | 251C00000X | Day Training, Developmentally Disabled Services | AK | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | CMG 438 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447895578 | Tanana Chiefs Conference | Community/Behavioral Health | 117 1st Ave, Fairbanks, AK 99701-4802 | 2019-11-13 |
| 1497390538 | Tanana Chiefs Conference | Community/Behavioral Health | 122 1st Ave Ste 106, Fairbanks, AK 99701-4871 | 2019-11-13 |
| 1770128811 | Tanana Chiefs Conference | Community/Behavioral Health | West Willow and C Street, Tok, AK 99780 | 2019-11-13 |
| 1467784140 | Tanana Chiefs Conference | Community Based Residential Treatment Facility, Mental Illness | 122 First Avenue 4th Floor, Fairbanks, AK 99701 | 2010-02-05 |
| 1154565133 | Tanana Chiefs Conference | Community Based Residential Treatment Facility, Mental Illness | 122 1st Ave Ste 4, Fairbanks, AK 99701-4871 | 2009-04-22 |
| 1841835980 | Tanana Chiefs Conference | Community/Behavioral Health | 1521 S Cushman St, Fairbanks, AK 99701-6203 | 2019-11-13 |
| 1740825884 | Tanana Chiefs Conference | Community/Behavioral Health | 77 Antoski Ave, Galena, AK 99741 | 2019-11-13 |
| 1306481437 | Tanana Chiefs Conference | Community/Behavioral Health | 1717 W Cowles St, Fairbanks, AK 99701-5926 | 2019-11-13 |
| 1013205608 | Tanana Chiefs Conference | Substance Abuse Rehabilitation Facility | 201 1st Ave, Fairbanks, AK 99701-4848 | 2011-07-15 |
| 1124350624 | Tanana Chiefs Conference | Community Based Residential Treatment Facility, Mental Illness | 122 1st Ave, Suite 400, Fairbanks, AK 99701 | 2010-02-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TANANA CHIEFS CONFERENCE | 122 1st Ave Ste 600, Fairbanks, AK 99701-4871 |
| Street Address |
122 1ST AVE STE 600 |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99701-4871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275556144 | Sasha Elizabeth Ericksen | Psychiatry & Neurology | 122 1st Ave Ste 600, Fairbanks, AK 99701-4871 | 2006-07-25 |
| 1568061596 | Lucas Daniel Ritter | Counselor | 122 1st Ave Ste 600, Fairbanks, AK 99701-4899 | 2020-10-21 |
| 1770106551 | Juliette M Teregeyo | Case Manager/Care Coordinator | 122 1st Ave Ste 600, Fairbanks, AK 99701-4899 | 2020-05-27 |
| 1942832639 | Janessa Nicole Newman | Counselor | 122 1st Ave Ste 600, Fairbanks, AK 99701-4899 | 2020-02-10 |
| 1558836221 | William Bruce Gaddis IIi | Counselor | 122 1st Ave Ste 600, Fairbanks, AK 99701-4899 | 2018-10-09 |
| 1396003455 | Morgan Birrell Liddell | Psychiatry & Neurology | 122 1st Ave Ste 600, Fairbanks, AK 99701-4871 | 2012-04-26 |
| 1750672861 | Daisy Elizabeth Henry | Counselor | 122 1st Ave Ste 600, Fairbanks, AK 99701-4871 | 2011-04-22 |
| 1386973659 | Eleanore Louise Starr | Counselor | 122 1st Ave Ste 600, Fairbanks, AK 99701-4871 | 2009-12-16 |
| 1497996680 | Carol J Rose | Counselor | 122 1st Ave Ste 600, Fairbanks, AK 99701-4871 | 2009-03-17 |
| 1447491758 | Ray J Dewilde | Counselor | 122 1st Ave Ste 600, Fairbanks, AK 99701-4871 | 2009-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659984987 | Resource Center for Parents & Children, Inc. | Social Worker | 726 26th Ave, Suite #2, Fairbanks, AK 99701 | 2020-08-26 |
| 1134738982 | Aaron Paul Sarauer | Behavior Technician | 3121 Lathrop St., Fairbanks, AK 99701 | 2020-07-28 |
| 1437715505 | Fabienne Rose Marie Siddall | Case Manager/Care Coordinator | 122 1st Avenue, Fairbanks, AK 99701 | 2019-05-14 |
| 1902461957 | Jacqueline Marie Rahm | Counselor | Family Centered Services of Alaska - Rtc, 3101 Lathrop St., Fairbanks, AK 99701 | 2019-05-06 |
| 1821588989 | Corrie Wilson | Nurse Practitioner | 1025 Barnette Street, Fairbanks, AK 99701 | 2018-05-15 |
| 1922519305 | Sarishma Sangeeta Lal | Registered Nurse | 815 2nd Ave Ste 122, Fairbanks, AK 99701 | 2017-10-12 |
| 1245690569 | Christine L Simko | Naturopath | 1275 Sadler Way, Ste 100 Rm 147, Fairbanks, AK 99701 | 2016-02-29 |
| 1932581600 | Jennifer Davis | Registered Nurse | 1025 West Barnette St., Fairbanks, AK 99701 | 2015-06-18 |
| 1700272705 | John D. Zipperer Jr Md, LLC | Clinic/Center | 751 Old Richardson Hwy., Fairbanks, AK 99701 | 2015-04-07 |
| 1578957460 | Mara Justine Becker | Physician Assistant | 1717 W. Cowles St, Fairbanks, AK- ALASKA 99701 | 2015-03-27 |
| Find all providers in zip 99701 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881852663 | Morning Star Ranch | Day Training, Developmentally Disabled Services | 2757 College Rd, Fairbanks, AK 99709-3751 | 2008-05-28 |
| 1346466802 | Adult Learning Programs of Alaska | Day Training, Developmentally Disabled Services | 122 1st Ave Ste 201, Fairbanks, AK 99701-4871 | 2007-04-17 |
| 1538715164 | Branching Out Supported Services LLC | Day Training, Developmentally Disabled Services | 1584 Hilton Ave, Fairbanks, AK 99701-4016 | 2019-08-09 |
| 1366919409 | Blooming Hearts LLC | Day Training, Developmentally Disabled Services | 201 Old Steese Hwy Ste 5, Fairbanks, AK 99701-3160 | 2018-10-26 |
| 1497069892 | Emilianne Lansdown | Day Training, Developmentally Disabled Services | 122 1st Ave, Suite 201, Fairbanks, AK 99701-4803 | 2010-07-28 |
| 1700199601 | Pauline Eva Rodriguez | Day Training, Developmentally Disabled Services | 122 1st Ave, Suite 201, Fairbanks, AK 99701-4803 | 2010-07-20 |
| 1528391240 | Adult Learning Programs of Alaska | Day Training, Developmentally Disabled Services | 122 1st Ave, Fairbanks, AK 99701-4803 | 2009-09-14 |
| 1043469349 | Tanana Chiefs Conference | Day Training, Developmentally Disabled Services | 122 1st Ave, Suite 600 Client Development, Fairbanks, AK 99701-4803 | 2008-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689282030 | Florence L Achwil | Day Training, Developmentally Disabled Services | 4423 E 6th Ave, Anchorage, AK 99508-2226 | 2020-07-21 |
| 1740843457 | Fe's Assisted Living Home | Day Training, Developmentally Disabled Services | 1841 E 57th Ave, Anchorage, AK 99507-1901 | 2019-04-18 |
| 1619432937 | Alaskan Red Assisted Living LLC | Day Training, Developmentally Disabled Services | 6291 Gross Dr, Anchorage, AK 99507-2059 | 2019-02-01 |
| 1184118366 | Clouds Rest Commons Inc | Day Training, Developmentally Disabled Services | 5772 E Morning Mist Dr, Palmer, AK 99645-9186 | 2018-06-20 |
| 1396243663 | Fritz Miller | Day Training, Developmentally Disabled Services | 43850 Ross Dr, Soldotna, AK 99669-6809 | 2018-01-31 |
| 1760902803 | Discovery Living LLC | Day Training, Developmentally Disabled Services | 16845 Eleonora St, Eagle River, AK 99577-7614 | 2017-06-20 |
| 1346633922 | Golden Hearts, Inc. | Day Training, Developmentally Disabled Services | 6401 Blackberry St, Anchorage, AK 99502-2135 | 2015-03-06 |
| 1639570203 | J&j Independent Living, LLC | Day Training, Developmentally Disabled Services | 165 E. Parks Hwy, Suite 106, Wasilla, AK 99654-3909 | 2014-09-14 |
| 1184047292 | Mountainside Assisted Living Home | Day Training, Developmentally Disabled Services | 633 5th St, Douglas, AK 99824-5512 | 2014-01-24 |
| 1427354570 | Hope Community Resources, Inc. | Day Training, Developmentally Disabled Services | 8918 Juliana St, Anchorage, AK 99502-5563 | 2011-02-08 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on TANANA CHIEFS CONFERENCE.
| 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.