PROVIDENCE HEALTH & SERVICES - WASHINGTON
NPI 1891899597
Home Health in Kodiak, AK

Q: What is Providence Health & Services - Washington's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Active since September 12, 2006

1915 E REZANOF DR, KODIAK, AK 99615(907) 486-3281(907) 486-9546 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Providence Health & Services - Washington NPPES

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

PROVIDENCE HEALTH & SERVICES - WASHINGTON (NPI 1891899597), doing business as Providence Kodiak Home Health, is a healthcare organization registered as a home health in Kodiak, Alaska and active in the NPI registry since September 2006. The organization lists Donald Wayne Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1891899597

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NamePROVIDENCE HEALTH & SERVICES - WASHINGTON

Location Address1915 E REZANOF DRKodiak, AK 99615-6602

Mailing AddressPo Box 3706Portland, OR 97208-3706 · (907) 486-3281 · Fax (907) 486-9546

Phone(907) 486-3281

Fax(907) 486-9546

Organization SubpartNo

Authorized OfficialDonald Wayne AndersonAssistant Secretary Of Enrollments · (425) 358-9786

Enumeration DateSeptember 12, 2006

Last NPPES UpdateMay 13, 2025

NPPES CertifiedMay 13, 2025

✔ NPI 1891899597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

License✔ Licensed in AK · 309115

Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

1915 E REZANOF DR, Kodiak, AK 99615

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Other Names 1

Doing Business AsProvidence Kodiak Home Health

Other Identifiers 5

MedicaidHH3281AK

MedicaidPCG534AAK

MedicaidNA1431AK

MedicaidCMG658AK

MedicaidMS4793AK

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.

PROVIDENCE HEALTH & SERVICES WASHINGTON

General Acute Care Hospital (Critical Access)