EAGLE CREST ALH LLC NPI 1326364647

NPI Information

NPI: 1326364647
Provider Name: EAGLE CREST ALH LLC

Doing Business As: EAGLE CREST

Classification: Respite Care - 385H00000X
Entity Type: Organization
Address:
22626 CHAMBER LN
CHUGIAK, AK
ZIP 99567
Phone: (907) 688-0123
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EAGLE CREST ALH LLC is a respite care in Chugiak, AK. EAGLE CREST ALH LLC NPI is 1326364647. The provider is registered as an organization entity type.
The provider Is Doing Business As Eagle Crest.

The provider's business location address is:

22626 CHAMBER LN
CHUGIAK, AK
ZIP 99567-155
Phone: (907) 688-0123
Fax: (907) 688-0123

The provider's authorized official is Belinda Baldwin .
The authorized official title is Executive Director and has the following contact phone number (907) 688-0123.

The enumeration date for this NPI number is 4/12/2010 and was last updated on 2/15/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities	959821	ALASKA	No
2	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	959821	ALASKA	No
3	251C00000X	Day Training, Developmentally Disabled Services	959821	ALASKA	No
4	251S00000X	Community/Behavioral Health	959821	ALASKA	No
5	385H00000X	Respite Care	959821	ALASKA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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