EAGLE CREST
NPI 1326364647
Respite Care in Chugiak, AK
Active since April 12, 2010
About Eagle Crest NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EAGLE CREST (NPI 1326364647) is a healthcare organization registered as a respite care in Chugiak, Alaska and active in the NPI registry since April 2010. The organization lists Belinda Baldwin, Executive Director, as its authorized official.
NPPES Registry Identity
NPI1326364647
Entity TypeOrganization
Primary Taxonomy385H00000X
Legal Business NameEAGLE CREST ALH LLC
Location Address22626 CHAMBER LNChugiak, AK 99567-6155
Mailing Address22306 Shadowy Spruce DrChugiak, AK 99567-5452 · (907) 688-0123 · Fax (907) 688-0123
Phone(907) 688-0123
Fax(907) 688-0123
Organization SubpartNo
Authorized OfficialBelinda BaldwinExecutive Director · (907) 688-0123
Enumeration DateApril 12, 2010
Last NPPES UpdateFebruary 15, 2014
✔ NPI 1326364647 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 5
★ Primary SpecialtyRespite CareRespite Care Facility
Taxonomy Code385H00000X
License✔ Licensed in AK · 959821
Also ListedDay Training, Developmentally Disabled ServicesTaxonomy 251C00000X · License 959821 (AK)
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X · License 959821 (AK)
Also ListedIntermediate Care Facility, Intellectual DisabilitiesTaxonomy 315P00000X · License 959821 (AK)
Also ListedCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320900000X · License 959821 (AK)
22626 CHAMBER LN, Chugiak, AK 99567
Other Names 1
Doing Business AsEagle Crest
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1326364647, enumerated as an "organization" on April 12, 2010.
The provider is located at 22626 CHAMBER LN CHUGIAK, AK 99567 and the phone number is (907) 688-0123.
Respite Care with taxonomy code 385H00000X.
