SET FREE ALASKA, INC. (NPI# 1780220012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780220012 |
| Entity Type | Organization |
| Organization Name | SET FREE ALASKA, INC. |
| Practice Address |
51310 Timber Bay Court Homer AK 99603-9968 |
| Mailing Address |
Po Box 876741 Wasilla AK 99687-6741 |
| Practice Telephone | 9073734732 |
| Mailing Telephone | 9073734732 |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2019-11-21 |
| Authorized Official Name | JOYCE STEIN (CFO) |
| Authorized Official Telephone | 9073734732 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | STATE OF ALASKA GRANT | 602-239-20011 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700422029 | Set Free Alaska, Inc. | Community/Behavioral Health | 7010 E Bogard Rd Bldg 2, Wasilla, AK 99654-4711 | 2019-11-21 |
| 1811532575 | Set Free Alaska, Inc. | Substance Abuse Rehabilitation Facility | 1130 Ocean Dr Ste A, Homer, AK 99603-7919 | 2019-11-16 |
| 1073841789 | Set Free Alaska, Inc. | Community/Behavioral Health | 7010 E Bogard Rd Bldg 1, Wasilla, AK 99654-4711 | 2009-11-19 |
| 1538705868 | Set Free Alaska, Inc. | Community/Behavioral Health | 51310 Timber Bay Court, Homer, AK 99603-9968 | 2019-11-21 |
| 1346886660 | Set Free Alaska, Inc. | Substance Abuse Rehabilitation Facility | 7010 E Bogard Rd Bldg 2, Wasilla, AK 99654-4711 | 2019-11-21 |
| 1154967487 | Set Free Alaska, Inc. | Community/Behavioral Health | 7010 E Bogard Rd Bldg 1, Wasilla, AK 99654-4711 | 2019-11-21 |
| 1972149201 | Set Free Alaska, Inc. | Substance Abuse Rehabilitation Facility | 1130 Ocean Dr Ste A, Homer, AK 99603-7919 | 2019-11-21 |
| Street Address |
51310 TIMBER BAY COURT |
| City | HOMER |
| State | AK |
| Zip Code | 99603-9968 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410251 | Alexander Matthew Johnson | Counselor | 51310 Timber Bay Court, Homer, AK 99603 | 2020-09-03 |
| 1568072858 | Colten Lewis Johnson | Counselor | 51310 Timber Bay Court, Homer, AK 99603 | 2020-08-03 |
| 1235749524 | Andrew Tomey | Counselor | 51310 Timber Bay Court, Homer, AK 99603 | 2020-08-03 |
| 1356969166 | Robert Wade Walker | Counselor | 51310 Timber Bay Court, Homer, AK 99603 | 2020-07-08 |
| 1598383317 | Joseph Earl Perkins | Counselor | 51310 Timber Bay Court, Homer, AK 99603 | 2020-07-08 |
| 1053939868 | Stewart Daffron | Counselor | 51310 Timber Bay Court, Homer, AK 99603 | 2020-07-08 |
| 1952929762 | Matthew Lance Noble | Counselor | 51310 Timber Bay Court, Homer, AK 99603 | 2020-07-08 |
| 1538705868 | Set Free Alaska, Inc. | Community/Behavioral Health | 51310 Timber Bay Court, Homer, AK 99603-9968 | 2019-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572387 | Morgan Dwyer | Counselor | 51310 Timber Bay Ct, Homer, AK 99603 | 2020-09-09 |
| 1346859824 | John George Hetrick | Counselor | 51310 Timber Bay Ct., Homer, AK 99603 | 2020-07-30 |
| 1093352502 | Katieostrommd | Obstetrics & Gynecology | 205 W Fairview, Homer, AK 99603 | 2019-12-03 |
| 1023651965 | Melissa Elizabeth Malcolm | Physical Therapy Assistant | 4107 Hohe Ave, Homer, AK 99603 | 2019-10-23 |
| 1184143620 | Homer Birth and Wellness Center | Clinic/Center | 3902 Shelford Street, Homer, AK 99603 | 2017-09-15 |
| 1588913271 | Sharon Marie Gorman | Registered Nurse | 3959 Ben Walters, Homer, AK 99603 | 2012-09-10 |
| 1477802197 | Aldergrove Assisted Living | Community Based Residential Treatment Facility, Mental Illness | 41045 Denny Lane, Homer, AK 99603 | 2012-09-10 |
| 1194087551 | Stephen Michael Mueller | Pharmacist | 3858 Lake Street, Suite #5, Lakeside Mall, Homer, AK 99603 | 2012-06-12 |
| 1962778001 | Homer Dental Center Inc | Dentist | 4014 Lake St., Ste 210, Homer, AK 99603 | 2012-03-22 |
| 1346544368 | William R Easton | General Practice | 2495 Bayridge Rd, Homer, AK 99603 | 2011-01-05 |
| Find all providers in zip 99603 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811532575 | Set Free Alaska, Inc. | Substance Abuse Rehabilitation Facility | 1130 Ocean Dr Ste A, Homer, AK 99603-7919 | 2019-11-16 |
| 1972149201 | Set Free Alaska, Inc. | Substance Abuse Rehabilitation Facility | 1130 Ocean Dr Ste A, Homer, AK 99603-7919 | 2019-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992281034 | Akeela Inc | Substance Abuse Rehabilitation Facility | 2804 Bering St, Anchorage, AK 99503-3820 | 2018-07-12 |
| 1508393869 | Ground Zero Wellness Center | Substance Abuse Rehabilitation Facility | 4670 Killen Ln, Fairbanks, AK 99709-3325 | 2017-05-17 |
| 1306394960 | Akeela Inc | Substance Abuse Rehabilitation Facility | 561 S Denali St Ste F, Palmer, AK 99645-6464 | 2016-09-13 |
| 1730582446 | Starting Point | Substance Abuse Rehabilitation Facility | 230 E Paulson Ave, 76, Wasilla, AK 99654-7001 | 2014-10-08 |
| 1003005828 | Maniilaq Association | Substance Abuse Rehabilitation Facility | 722 Second Ave, Kotzebue, AK 99752-0256 | 2007-10-17 |
| 1518158245 | Norton Sound Regional Hospital | Substance Abuse Rehabilitation Facility | 3rd Ave, Unalakleet, AK 99684 | 2007-08-07 |
| 1184814667 | Norton Sound Health Corp | Substance Abuse Rehabilitation Facility | 305 5th & Bering Street, Nome, AK 99762 | 2007-07-31 |
| 1205036548 | Norton Sound Health Corporation | Substance Abuse Rehabilitation Facility | 306 5th Ave. W, Nome, AK 99762 | 2007-07-24 |
| 1124147905 | The Salvation Army Clitheroe Center - Dual Diagnosis | Substance Abuse Rehabilitation Facility | 8000 W End Rd, Anchorage, AK 99519 | 2007-03-29 |
| 1184778698 | Bartlett Regional Hospital | Substance Abuse Rehabilitation Facility | 3250 Hospital Dr, Juneau, AK 99801-7808 | 2007-01-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SET FREE ALASKA, 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.