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KOTZEBUE SENIOR CITIZENS CULTURAL CENTER
NPI 1629109939
Assisted Living Facility in Kotzebue, AK

Active since March 08, 2007
607 WOLVERINE DRIVE, KOTZEBUE, AK 99752(907) 442-7917(907) 442-7932 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kotzebue Senior Citizens Cultural Center NPPES

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

KOTZEBUE SENIOR CITIZENS CULTURAL CENTER (NPI 1629109939) is a healthcare organization registered as an assisted living facility in Kotzebue, Alaska and active in the NPI registry since March 2007. The organization lists Kellie B. Haas, Elder Services Director, as its authorized official.

NPPES Registry Identity

NPI1629109939
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameMANIILAQ ASSOCIATION KSCCC
Location Address607 WOLVERINE DRIVEKotzebue, AK 99752-1073
Mailing AddressPo Box 1073Kotzebue, AK 99752-1073 · (907) 442-7917 · Fax (907) 442-7932
Phone(907) 442-7917
Fax(907) 442-7932
Organization SubpartNo
Authorized OfficialKellie B. HaasElder Services Director · (907) 442-7917
Enumeration DateMarch 8, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1629109939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in AK · 000063
Definition
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.
607 WOLVERINE DRIVE, Kotzebue, AK 99752
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Other Names 1

Doing Business AsKotzebue Senior Citizens Cultural Center

Other Identifiers 2

MedicaidCMG590AK
MedicaidRL3590AK

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MANIILAQ ASSOCIATION
Assisted Living Facility
607 WOLVERINE DRIVE
KOTZEBUE, AK 99752
Northwest Arctic Borough (907) 442-7919
MR. CHARLES R STONER LPN
Case Manager/Care Coordinator
607 WOLVERINE DRIVE, BOX 1073
KOTZEBUE, AK 99752
Northwest Arctic Borough (907) 442-7903
MANIILAQ ASSOCIATION KSCCC
Case Management
607 WOLVERINE DRIVE
KOTZEBUE, AK 99752
Northwest Arctic Borough (907) 442-7917
TINA M THOMPSON LPN
Case Manager/Care Coordinator
607 WOLVERINE DRIVE
KOTZEBUE, AK 99752
Northwest Arctic Borough (907) 442-7903
MANIILAQ ASSOCIATION
Home Health
607 WOLVERINE DRIVE, BOX 1073
KOTZEBUE, AK 99752
Northwest Arctic Borough (907) 442-7917

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 Maniilaq Association Ksccc's NPI number?

The NPI number for Maniilaq Association Ksccc is 1629109939. It was assigned to this organization in the NPPES registry on March 8, 2007. The provider is doing business as Kotzebue Senior Citizens Cultural Center.

Where is Maniilaq Association Ksccc located?

Maniilaq Association Ksccc is located at 607 Wolverine Drive, Kotzebue, AK 99752. The listed phone number is (907) 442-7917.

What is Maniilaq Association Ksccc's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Maniilaq Association Ksccc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.