BRANCHING OUT SUPPORTED SERVICES LLC
NPI 1538715164
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Anchorage, AK

Q: What is Branching Out Supported Services LLC's NPI number?

The NPI number for Branching Out Supported Services LLC is 1538715164. It was assigned to this organization in the NPPES registry on August 9, 2019.

Q: What is Branching Out Supported Services LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Active since August 09, 2019

8132 E 32ND AVE UNIT A, ANCHORAGE, AK 99504(907) 987-9267 Get Directions Write a Review

NPPES record last updated: November 22, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 22, 2022, Aug 9, 2019 (2 updates tracked since 2019).

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About Branching Out Supported Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRANCHING OUT SUPPORTED SERVICES LLC (NPI 1538715164) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Anchorage, Alaska and active in the NPI registry since August 2019. The organization maintains a secondary practice location in Fairbanks and lists Glenn Wrightsman, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1538715164

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NameBRANCHING OUT SUPPORTED SERVICES LLC

Location Address8132 E 32ND AVE UNIT AAnchorage, AK 99504-4112

Mailing Address1584 Hilton AveFairbanks, AK 99701-4016 · (907) 987-9267

Phone(907) 987-9267

Organization SubpartNo

Authorized OfficialGlenn WrightsmanExecutive Director · (907) 987-9267

Enumeration DateAugust 9, 2019

Last NPPES UpdateNovember 22, 20222 updates tracked since enumeration

NPPES CertifiedNovember 22, 2022

✔ NPI 1538715164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Also ListedDay Training, Developmentally Disabled ServicesTaxonomy 251C00000X

8132 E 32ND AVE UNIT A, Anchorage, AK 99504

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Secondary Practice Location 1

Location 11584 Hilton AveFairbanks, AK 99701-4016 · Phone (907) 987-9267

Other Identifiers 1

Medicaid1942785464AK

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Branching Out Supported Services LLC's NPI number?

The NPI number for Branching Out Supported Services LLC is 1538715164. It was assigned to this organization in the NPPES registry on August 9, 2019.

Where is Branching Out Supported Services LLC located?

Branching Out Supported Services LLC is located at 8132 E 32nd Ave Unit A, Anchorage, AK 99504. The listed phone number is (907) 987-9267.

What is Branching Out Supported Services LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Branching Out Supported Services LLC was last updated on November 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.