Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BRANCHING OUT SUPPORTED SERVICES LLC
NPI 1942785464
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Fairbanks, AK

Active since October 01, 2018
1584 HILTON AVE, FAIRBANKS, AK 99701(907) 987-9267 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 14, 2026, Nov 22, 2022, Oct 1, 2018 (3 updates tracked since 2018).

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 1942785464), doing business as Birch House, is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Fairbanks, Alaska and active in the NPI registry since October 2018. The organization maintains a secondary practice location in Fairbanks and lists Glenn Wrightsman, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1942785464
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameBRANCHING OUT SUPPORTED SERVICES LLC
Location Address1584 HILTON AVEFairbanks, AK 99701-4016
Mailing Address1584 Hilton AveFairbanks, AK 99701-4016 · (907) 987-9267
Organization SubpartNo
Authorized OfficialGlenn WrightsmanExecutive Director · (907) 987-9267
Enumeration DateOctober 1, 2018
Last NPPES UpdateJuly 14, 20263 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
NPI 1942785464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
1584 HILTON AVE, Fairbanks, AK 99701

Other Names 1

Doing Business AsBirch House

Secondary Practice Location 1

Location 1806 Quasar DrFairbanks, AK 99712-2613 · Phone (907) 987-9267

Other Providers at the Same Location NPPES 2

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

Case Management
1584 HILTON AVE
FAIRBANKS, AK 99701
Case Management
1584 HILTON AVE
FAIRBANKS, AK 99701

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 1942785464. It was assigned to this organization in the NPPES registry on October 1, 2018. The provider is doing business as Birch House.

Where is Branching Out Supported Services LLC located?

Branching Out Supported Services LLC is located at 1584 Hilton Ave, Fairbanks, AK 99701. 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 July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.