MORNING STAR RANCH


Address: 2757 College Rd, Fairbanks, AK 99709-3751
Phone: 9074556772

MORNING STAR RANCH (NPI# 1881852663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881852663
Entity Type Organization
Organization Name MORNING STAR RANCH
Practice Address 2757 College Rd
Fairbanks
AK 99709-3751
Mailing Address Po Box 80711
Fairbanks
AK 99708-0711
Practice Telephone 9074556772
Practice Fax Number 9073744480
Mailing Telephone 9074556772
Mailing Fax Number 9073744480
Enumeration Date 2008-05-28
Last Update Date 2014-07-28
Authorized Official Name MR. BENNIE DAVID COLBERT SR. SR. (PRESIDENT)
Authorized Official Telephone 9079789890
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251C00000X Day Training, Developmentally Disabled Services HC7641 AK Agencies
N 347C00000X Private Vehicle HC7641 AK Transportation Services
N 385HR2060X Respite Care
Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child
HC7641 AK Respite Care Facility
N 251B00000X Case Management CM7641 AK Agencies
Y 251C00000X Day Training, Developmentally Disabled Services AK Agencies
N 251B00000X Case Management CMG764 AK Agencies
N 385HR2060X Respite Care
Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child
AK Respite Care Facility

Other Provider Identifier

State Issuer Identifier Type Code
AK 1004993 05
AK HC7641 05

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names MORNING STAR RANCH LLC 448 Ferry Rd, Grants Pass, OR 97526
Colorado Business Entities Morning Star Ranch Ltd. 9640 Defoe St, Strasburg, CO 80136
Colorado Business Entities MORNING STAR RANCH, LLC Vulcan Investments Inc, 1601 Arapahoe St Ste 700, Denver, CO 80202

Office Location

Street Address 2757 COLLEGE RD
City FAIRBANKS
State AK
Zip Code 99709-3751

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1609395409 Shawn K Goggins Counselor 1423 Peger Road, Fairbanks, AK 99709 2017-09-12
1710433347 Jay Titus Technician/Technologist 2884 Marina Drive, Fairbanks, AK 99709 2016-09-01
1710391610 Hannah Summerfelt Dentist 3539 Thomas St, Fairbanks, AK 99709 2014-06-18
1629407325 Diane Louise Mitchell Nurse Practitioner 4650 Harvard Cir, Fairbanks, AK 99709 2013-11-04
1407147929 Christina Martz Counselor 1270 Summet Drive, Fairbanks, AK 99709 2011-05-02
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1962661835 John Leo Hughes Jr Jr. Dentist 3437 Airport Way, Suite 205, Fairbanks, AL 99709 2008-06-05
1508042417 Katherine E Johnson, Md PC Ophthalmology 2485 Chief William Drive, Suite 100, Fairbanks, AK 99709 2008-01-10
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Taxonomy Information

Taxonomy Code 251C00000X
Grouping Agencies
Classification Day Training, Developmentally Disabled Services

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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

Providers in the same taxonomy and state

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
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Competitor

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City FAIRBANKS
Zip Code 99709

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Dataset Information

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.

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