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BSD- PATHWAY HOME
NPI 1639102882
Community Based Residential Treatment Facility, Mental Illness in Anchorage, AK

Active since July 09, 2006
4000 SAN ERNESTO AVE, ANCHORAGE, AK 99508(907) 729-5020 Get Directions Write a Review

NPPES record last updated: September 14, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bsd- Pathway Home NPPES

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

BSD- PATHWAY HOME (NPI 1639102882) is a healthcare organization registered as a community based residential treatment facility, mental illness in Anchorage, Alaska and active in the NPI registry since July 2006. The organization lists Ronald Lee Olson, Executive Vice President Finance, as its authorized official.

NPPES Registry Identity

NPI1639102882
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameSOUTHCENTRAL FOUNDATION
Location Address4000 SAN ERNESTO AVEAnchorage, AK 99508-2874
Mailing AddressPo Box 35198Seattle, WA 98124-5198
Phone(907) 729-5020
Organization SubpartYes
Authorized OfficialRonald Lee OlsonExecutive Vice President Finance · (907) 729-4939
Enumeration DateJuly 9, 2006
Last NPPES UpdateSeptember 14, 2023
NPPES CertifiedSeptember 14, 2023
✔ NPI 1639102882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
License✔ Licensed in AK · 20467
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
4000 SAN ERNESTO AVE, Anchorage, AK 99508
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Other Names 1

Doing Business AsBsd- Pathway Home

Other Identifiers 2

Medicaid1000855AK
Medicaid1021095AK

Other Providers at the Same Location NPPES 20

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

SOUTHCENTRAL FOUNDATION
Community/Behavioral Health
4000 SAN ERNESTO AVE
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-5020
CLAUDETTE JEANNE LAMPLEY
Behavior Technician
4000 SAN ERNESTO AVE
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-5020
EVELYN KEITH-ROBINSON
Behavior Technician
4000 SAN ERNESTO AVE
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-5020
MRS. MICHELLE MARIE SANNER
Counselor (Mental Health)
4000 SAN ERNESTO AVE
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-5020
COLIN MARK PETER
Behavior Technician
4000 SAN ERNESTO AVE
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-5039
OSEI KWADWO BOATENG
Behavior Technician
4000 SAN ERNESTO AVE
ANCHORAGE, AK 99508
Anchorage Municipality (907) 720-5020
GIL CARR
Counselor (Mental Health)
4000 SAN ERNESTO AVE
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-5020
MISS CAELEA RENEE HENDERSON
Behavior Technician
4000 SAN ERNESTO AVE
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-5020

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 Southcentral Foundation's NPI number?

The NPI number for Southcentral Foundation is 1639102882. It was assigned to this organization in the NPPES registry on July 9, 2006. The provider is doing business as Bsd- Pathway Home.

Where is Southcentral Foundation located?

Southcentral Foundation is located at 4000 San Ernesto Ave, Anchorage, AK 99508. The listed phone number is (907) 729-5020.

What is Southcentral Foundation's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Southcentral Foundation was last updated on September 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.