Maniilaq Association, NPI 1629233416
Home Health Agency in Kotzebue, AK, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1629233416
NPI Entity Type Organization
Provider Name Maniilaq Association
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 607 Wolverine Drive, Box 1073, Kotzebue, AK, US
Provider Mailing Address 607 Wolverine Drive, Box 1073, Kotzebue, AK, US, 997521073
Is Sole Proprietor? No
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Organization Official

Official Name MRS. LPN Kellie Beth Haas
Official Position ELDER SERVICES DIRECTOR
Phone 907-442-7917

Primary Taxonomy

Taxonomy Code

251E00000X

Taxonomy Name Home Health Agency
Classification

Home Health

Group

Agencies

License No. HC3590
License State AK
Description 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.

Business Address

Maniilaq Association
607 Wolverine Drive
Box 1073

Kotzebue, AK, US

Phone: 907-442-7917
Fax: 907-442-7932

Mailing Address

Maniilaq Association
607 Wolverine Drive
Box 1073
Kotzebue, AK, US
ZIP 997521073
Phone: 907-442-7917
Fax: 907-442-7932

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

332U00000X

Suppliers

Home Delivered Meals

HC3590 AK No

343900000X

Transportation Services

Non-emergency Medical Transport (VAN)

HC3590 AK No

385H00000X

Respite Care Facility

Respite Care

HC3590 AK No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
HC3590 AK MEDICAID 05
HC3590 AK DSDS CERTIFICATION 01

Other Providers in AK, US

NPI Name Taxonomy Address

1992450910

DPT Jenna Charlotte Nelson

Individual

Physical Therapist

122 1st Ave Ste 600

Fairbanks, AK

1457076820

FNP-BC Casey Griffith Womble

Individual

Family Nurse Practitioner

4000 Ambassador Dr

Anchorage, AK

1073271565

Sight Partners Physicians, P.c.

Organization

Ophthalmology Physician

2555 Phillips Field Rd

Fairbanks, AK

1306579164

Alyeska Imaging Center, Inc.

Organization

Diagnostic Radiology Physician

2480 S Woodworth Loop

Palmer, AK

1053926758

BCABA Bethany Joyanna Lee

Individual

Assistant Behavior Analyst

1175 N Leatherleaf Loop Ste C

Wasilla, AK

1497771109

D.O. Kendrick David Blais

Individual

Family Medicine Physician

1867 Airport Way Ste 140a

Fairbanks, AK

1013933209

Polar Wind Medical Center, Inc.

Organization

Family Medicine Physician

1867 Airport Way Ste 140a

Fairbanks, AK

1982329322

RD Marcel Leon Hollis

Individual

Registered Dietitian

436 5th Ave

Kotzebue, AK

1346965787

David Timothy Adams

Individual

Counselor

3650 N Campbell Rd

Palmer, AK

1649246836

MRS. MPAS PA-C Kathryn Elizabeth Steer

Individual

Family Medicine Physician

3455 Rewak Dr

Suite 103

Fairbanks, AK

1962127399

Catholic Social Services

Organization

Community/Behavioral Health Agency

3400 Spenard Rd

Anchorage, AK

1629538095

DR. DO Brian Paul Fremaux

Individual

Family Medicine Physician

230 E Marydale Ave

Soldotna, AK

1013499276

MS CCC SLP Christal Hays

Individual

Speech-Language Pathologist

4441 Diplomacy Dr

Anchorage, AK

1861004962

Morgan Dean Yaskus

Individual

Mental Health Counselor

8012 Stewart Mountain Dr

Eagle River, AK

1134844541

MS. Katelyn Tamara Holmberg

Individual

Counselor

1521 S Cushman St

Fairbanks, AK

1508977802

DR. MD Amy Elizabeth Dressel

Individual

Pediatrics Physician

1600 Glacier Ave

Juneau, AK

1912622481

Melissa Tasselli

Individual

Behavior Technician

16941 N Eagle River Loop Rd Ste 3

Eagle River, AK

1063800886

Johanna Clemens

Individual

Family Nurse Practitioner

350 14th Ave

Skagway, AK

1174248629

Pang Juan Lim

Individual

Day Training/Habilitation Specialist

1550 E 74th Ave

Anchorage, AK

1477278919

Michelle Kuehn

Individual

Day Training/Habilitation Specialist

1550 E 74th Ave

Anchorage, AK

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