FRONTLLINE RESIDENTIAL TREATMENT CENTER LLC (NPI# 1841364957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841364957 |
| Entity Type | Organization |
| Organization Name | FRONTLLINE RESIDENTIAL TREATMENT CENTER LLC |
| Other Organization Name | NORTH STAR RESIDENTIAL TREATMENT CENTER |
| Practice Address |
1650 Bragaw St Anchorage AK 99508-3435 |
| Mailing Address |
2530 Debarr Rd Anchorage AK 99508-2948 |
| Practice Telephone | 9072587575 |
| Mailing Telephone | 9072587575 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2008-06-30 |
| Authorized Official Name | STEVE FILTON (CFO SR VP) |
| Authorized Official Telephone | 6107683300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | AK | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| North Star Residential Treatment Center | Doing Business As Name - Organization |
| Street Address |
1650 BRAGAW ST |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-3435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851938328 | Frontline Hospital LLC | Community/Behavioral Health | 1650 Bragaw St, Anchorage, AK 99508-3435 | 2019-12-04 |
| 1669027884 | Robert Oconnor | Counselor | 1650 Bragaw St, Anchorage, AK 99508-3435 | 2019-08-05 |
| 1235784786 | Wesley Ann Rivera | Registered Nurse | 1650 Bragaw St, Anchorage, AK 99508-3435 | 2019-08-01 |
| 1952956427 | Jon Droska | Registered Nurse | 1650 Bragaw St, Anchorage, AK 99508-3435 | 2019-08-01 |
| 1508411075 | Bryan Brandenburg | Counselor | 1650 Bragaw St, Anchorage, AK 99508-3435 | 2019-08-01 |
| 1972157477 | Jannette M Johnson | Behavior Technician | 1650 Bragaw St, Anchorage, AK 99508-3435 | 2019-08-01 |
| 1598319295 | Tracie Robertson | Registered Nurse | 1650 Bragaw St, Anchorage, AK 99508-3435 | 2019-07-31 |
| 1376197061 | Carmen Botros Rizkalla | Registered Nurse | 1650 Bragaw St, Anchorage, AK 99508-3435 | 2019-07-31 |
| 1184278897 | Dallas Alberthal | Registered Nurse | 1650 Bragaw St, Anchorage, AK 99508-3435 | 2019-07-31 |
| 1114571841 | Bethany M Misemer | Behavior Technician | 1650 Bragaw St, Anchorage, AK 99508-3435 | 2019-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 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 |
| 1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
| 1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in zip 99508 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710149661 | Southcentral Foundation | Psychiatric Residential Treatment Facility | 3550 Cottonwood St, Anchorage, AK 99508-4352 | 2008-07-01 |
| 1194987370 | Southcentral Foundation | Psychiatric Residential Treatment Facility | 4353 Rendezvous Cir, Anchorage, AK 99504-4219 | 2008-06-27 |
| 1861698623 | Southcentral Foundation | Psychiatric Residential Treatment Facility | 1701 Cleveland Ave, Anchorage, AK 99517-2689 | 2007-06-26 |
| 1437271400 | Alaska Children's Services, Inc. | Psychiatric Residential Treatment Facility | 4600 Abbott Rd, Anchorage, AK 99507 | 2007-04-03 |
| 1356416101 | Frontline Residential Treatment Center LLC | Psychiatric Residential Treatment Facility | 1500 Debarr Circle, Anchorage, AK 99508 | 2006-11-21 |
| 1659483113 | Providence Health & Services - Washington | Psychiatric Residential Treatment Facility | 3210 W 62nd Ave, Anchorage, AK 99502 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689749939 | Frontline Residential Treatment Center LLC | Psychiatric Residential Treatment Facility | Mile 2.5 Clark Wolverine Rd, Palmer, AK 99645 | 2006-11-22 |
Please comment or provide details below to improve the information on FRONTLLINE RESIDENTIAL TREATMENT CENTER LLC.
| 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.