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KENAI PENINSULA COMMUNITY CARE SO
NPI 1972945889
Residential Treatment Facility, Emotionally Disturbed Children in Kenai, AK

Active since July 19, 2013
320 S SPRUCE ST, KENAI, AK 99611(907) 283-7635(907) 283-9575 Get Directions Write a Review

NPPES record last updated: July 19, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kenai Peninsula Community Care So NPPES

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

KENAI PENINSULA COMMUNITY CARE SO (NPI 1972945889) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Kenai, Alaska and active in the NPI registry since July 2013. The organization lists Tamara Bidwell, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1972945889
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameKENAI PENINSULA COMMUNITY CARE SO
Location Address320 S SPRUCE STKenai, AK 99611-7939
Mailing Address320 S Spruce StKenai, AK 99611-7939 · (907) 283-7635 · Fax (907) 283-9575
Phone(907) 283-7635
Fax(907) 283-9575
Organization SubpartNo
Authorized OfficialTamara BidwellExecutive Director · (907) 283-7635
Enumeration DateJuly 19, 2013
✔ NPI 1972945889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
320 S SPRUCE ST, Kenai, AK 99611
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Other Identifiers 1

MedicaidMH6326AK

Other Providers at the Same Location NPPES 4

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

CAITLIN PETERSON
Counselor
320 S SPRUCE ST
KENAI, AK 99611
Kenai Peninsula Borough (907) 283-7635
KENAI PENINSULA COMMUNITY CARE EMERGENCY
Residential Treatment Facility, Emotionally Disturbed Children
320 S SPRUCE ST
KENAI, AK 99611
Kenai Peninsula Borough (907) 283-7635
KENAI PENINSULA COMMUNITY CARE CENTER
Residential Treatment Facility, Emotionally Disturbed Children
320 S SPRUCE ST
KENAI, AK 99611
Kenai Peninsula Borough (907) 283-7635
MRS. TERRYA ELDER LCSW
Social Worker (Clinical)
320 S SPRUCE ST
KENAI, AK 99611
Kenai Peninsula Borough (907) 283-7635

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 Kenai Peninsula Community Care So's NPI number?

The NPI number for Kenai Peninsula Community Care So is 1972945889. It was assigned to this organization in the NPPES registry on July 19, 2013.

Where is Kenai Peninsula Community Care So located?

Kenai Peninsula Community Care So is located at 320 S Spruce St, Kenai, AK 99611. The listed phone number is (907) 283-7635.

What is Kenai Peninsula Community Care So's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Kenai Peninsula Community Care So was last updated on July 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.