CODI (NPI# 1780026989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780026989 |
| Entity Type | Organization |
| Organization Name | CODI |
| Practice Address |
7610 East Palmer-wasilla Hwy Palmer AK 99645 |
| Mailing Address |
Po Box 1907 Palmer AK 99645-1907 |
| Practice Telephone | 9077452634 |
| Practice Fax Number | 9077454897 |
| Mailing Telephone | 9077452634 |
| Mailing Fax Number | 9077454897 |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2013-07-29 |
| Authorized Official Name | JUDY CORDELL (CEO) |
| Authorized Official Telephone | 9077452634 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CODI | 901 Atlantic Ave, Egg Harbor City, NJ 08215-1810 |
| New York State Corporations | CODI CAVALIER LLC | 228 Park Ave S #758225, New York, Ny 10003 |
| New York State Corporations | CODI CO COACHING LLC | 221 Husted Ave, Peekskill, Ny 10566 |
| Oklahoma Business Registrations | CODI CONN | 21902 State Rd 22, Caddo, OK 74729-2720 |
| New York State Corporations | CODI I CORP. | 136-76 Roosevelt Ave. #1st Fl., Flushing, Ny 11354 |
| Massachusetts Corporations | CODI INC. | 1351 Eisenhower Blvd, Ste 200, Harrisburg, PA 17111 |
| Massachusetts Corporations | CODI INTERNATIONAL, INC. | 3 First Ave., Peabody, MA 01960 |
| Colorado Business Entities | Codi Luxe Jewelry LLC | 182 Bennett Place, Aspen, CO 81611 |
| New York State Corporations | CODI N CODI, INC. | 119-01 15th Ave, College Point, Ny 11356 |
| Washington State Corporations | CODI NELSON REAL ESTATE SERVICES, LLC | 3007 Nw 63rd St, Seattle, WA 98107-2566 |
| Street Address |
7610 EAST PALMER-WASILLA HWY |
| City | PALMER |
| State | AK |
| Zip Code | 99645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295357135 | Kasey M Flintoft | Occupational Therapist | 7200 E. Jim Cottrell Cir, Palmer, AK 99645 | 2020-05-14 |
| 1629601471 | Courtney Randol | Licensed Practical Nurse | 14405 E Pace Dr., Palmer, AK 99645 | 2020-02-20 |
| 1689213092 | Valerie Anne Delaune | Acupuncturist | 9693 N. Little Otter Dr., Palmer, AK 99645 | 2020-01-02 |
| 1003464512 | Alaskan Sunrise Behavioral Health, L.L.C. | Clinic/Center | 14460 E. Pace Dr., Palmer, AK 99645 | 2019-08-28 |
| 1548814718 | Maple Springs of Palmer Snf Holdings, LLC | Skilled Nursing Facility | 12130 E Maple Springs Way, Palmer, AK 99645 | 2019-07-26 |
| 1952868655 | Carla Beth Kelly | Physical Therapist | 7200 Jim Cottrell Circle, Palmer, AK 99645 | 2019-02-28 |
| 1366938375 | Wendy S Page | Behavior Technician | 7200 E Jim Cottrell, Wasilla, AK 99645 | 2018-07-03 |
| 1154845170 | Sarah Elizabeth Gilliland | Occupational Therapist | 7200 E Jim Cottrell Circle, Palmer, AK 99645 | 2017-08-01 |
| 1558885137 | Garland Brooks | Massage Therapist | 1934 Prospect Dr, Palmer, AK 99645 | 2017-07-26 |
| 1386165009 | Sommer Dawn Nielsen | Massage Therapist | 3566 N Mars Ave., Palmer, AK 99645 | 2017-07-03 |
| Find all providers in zip 99645 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134767494 | Akeela Inc | Community/Behavioral Health | 561 S Denali St Ste F, Palmer, AK 99645-6464 | 2019-12-18 |
| 1548613243 | Green Psychological Services, LLC | Community/Behavioral Health | 634 S Bailey St, 106, Palmer, AK 99645-6360 | 2016-07-18 |
| 1205267473 | Codi, Inc. | Community/Behavioral Health | 11921 E Palmer Wasilla Hwy, Palmer, AK 99645-8833 | 2013-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700483781 | Anchorage Community Mental Health Services, Inc | Community/Behavioral Health | 704 W 26th Ave, Anchorage, AK 99503-2532 | 2020-10-03 |
| 1992314215 | Residential Youth Care, Inc. | Community/Behavioral Health | 2442 Tongass Avenue, Ketchikan, AK 99901 | 2020-07-23 |
| 1124646641 | Alaska Art Therapy and Counseling | Community/Behavioral Health | 1107 W 8th St Unit 5, Juneau, AK 99801-1853 | 2020-07-10 |
| 1316563026 | Residential Youth Care, Inc. | Community/Behavioral Health | 606 Hill Road, Ketchikan, AK 99901 | 2020-06-18 |
| 1043836851 | Residential Youth Care, Inc. | Community/Behavioral Health | 2514 1st Avenue, Ketchikan, AK 99901 | 2020-06-18 |
| 1215553029 | Residential Youth Care, Inc. | Community/Behavioral Health | 2951 Baranof Avenue, Ketchikan, AK 99901 | 2020-06-18 |
| 1316561509 | Juneau Youth Services, Inc. | Community/Behavioral Health | 1507 3rd St, Douglas, AK 99824 | 2020-06-03 |
| 1225652407 | Juneau Youth Services, Inc. | Community/Behavioral Health | 1600 Renninger St, Juneau, AK 99801 | 2020-06-03 |
| 1316561590 | Juneau Youth Services, Inc. | Community/Behavioral Health | 2901 Riverside Dr, Juneau, AK 99801 | 2020-06-03 |
| 1366066540 | Juneau Youth Services, Inc. | Community/Behavioral Health | 3400 Tongass Blvd, Juneau, AK 99801 | 2020-06-03 |
| 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.