Immediate Care, Inc, NPI 1902934300
Supports Brokerage Agency in Anchorage, AK, UM

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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 1902934300
NPI Entity Type Organization
Provider Name Immediate Care, Inc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 6311 Debarr Road, Anchorage, AK, UM
Provider Mailing Address Po Box 103913, Anchorage, AK, US, 995103913
Is Sole Proprietor? No
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Organization Official

Official Name Mirasol Mirasol Isla
Official Position DIRECTOR OF FINANCE
Phone 907-336-3365

Primary Taxonomy

Taxonomy Code

251X00000X

Taxonomy Name Supports Brokerage Agency
Classification

Supports Brokerage

Group

Agencies

License No. 714562
License State AK
Description A provider of service/function that assists participating individuals to make informed decisions about what will work best for them is consistent with their needs and reflects their individual circumstances. Serving as the agent of the individual, the service is available to assist in identifying immediate and long-term needs, developing options to meet those needs and accessing identified supports and services and may include assistance with recruiting, screening, hiring, and training in-home support providers. A family or person-centered planning approach is used. Supports Brokerage offers practical skills training to enable families and individuals to remain independent. Examples of skills training include providing information on recruiting and hiring personal care workers, managing personal care workers and providing information on effective communication and problem solving. The service/function provides sufficient information to assure that individuals understand the responsibilities involved with self-direction and assist in the development of an effective back-up and emergency plan. Plans may elect to fulfill the requirement of this service/function using a self-directed case manager or creating a distinct service. The Supports Brokerage documents the need for assistive services, planning for and documenting the use of excess funds and locating and maintaining services.

Business Address

Immediate Care, Inc
6311 Debarr Road

Anchorage, AK, UM

Phone: 907-336-3365
Fax: 907-929-5661

Mailing Address

Immediate Care, Inc
Po Box 103913
Anchorage, AK, US
ZIP 995103913
Phone: 907-336-3365
Fax: 907-929-5661

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

385H00000X

Respite Care Facility

Respite Care

714562 AK No

261QA0600X

Ambulatory Health Care Facilities

Clinic/Center

714562 AK No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
HC0202 AK MEDICAID 05
CMG020 AK MEDICAID 05
PCG201 AK MEDICAID 05
HC02022 AK MEDICAID 05
PCG2021 AK MEDICAID 05
CMG472 AK MEDICAID 05
HC02021 AK MEDICAID 05
PCG2031 AK MEDICAID 05

Other Providers in AK, UM

NPI Name Taxonomy Address

1902934300

Immediate Care, Inc

Organization

Supports Brokerage Agency

6311 Debarr Road

Anchorage, AK

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