CHUGIAK SENIOR CITIZENS, INC. NPI 1134241573

Respite Care in Chugiak, AK

NPI 1134241573 Organization Respite Care

About CHUGIAK SENIOR CITIZENS, INC.

Chugiak Senior Citizens, Inc. is a provider established in Chugiak, Alaska specializing in respite care. The NPI number of Chugiak Senior Citizens, Inc. is 1134241573 and was assigned on April 2007. The practitioner's primary taxonomy code is 385H00000X with license number 000012 (AK). The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Ms. Linda Hendrickson (Executive Director)

NPI

1134241573

Provider NameCHUGIAK SENIOR CITIZENS, INC.
Provider Location Address22424 BIRCHWOOD LOOP RD CHUGIAK, AK 99567
Provider Mailing Address22424 BIRCHWOOD LOOP RD CHUGIAK, AK 99567
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date04-05-2007
Last Update Date08-22-2020


Primary Taxonomy

Taxonomy Code385H00000X
ClassificationRespite Care
TypeRespite Care Facility
License No.000012
License StateAK
Taxonomy DescriptionDefinition to come.

Business Address

CHUGIAK SENIOR CITIZENS, INC.
22424 BIRCHWOOD LOOP RD
CHUGIAK, AK
ZIP 99567
Phone: (907) 688-2678
Fax: (907) 688-1319

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Mailing Address

CHUGIAK SENIOR CITIZENS, INC.
22424 BIRCHWOOD LOOP RD
CHUGIAK, AK
ZIP 99567
Phone: (907) 688-2678
Fax: (907) 688-1319



Authorized Official

Authorized Official NameMS. LINDA HENDRICKSON
Authorized Official TitleEXECUTIVE DIRECTOR
Authorized Official Phone(907) 688-2678

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1310400000XNursing & Custodial Care FacilitiesAssisted Living Facility000012AKN/A

Taxonomy Description: a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1558708164CHUGIAK SENIOR CITIZENS, INC.
Organization
In Home Supportive Care22424 BIRCHWOOD LOOP RD
CHUGIAK, AK 99567
(907) 688-2678

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.