ONE SOURCE HOME CARE SERVICES LLC NPI 1376175075

NPI Information

  • NPI: 1376175075
  • Provider Name: ONE SOURCE HOME CARE SERVICES LLC
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Organization
  • Address: 9205 JAMES BLVD APT 102
    JUNEAU, AK
    ZIP 99801
  • Phone: (907) 500-3146

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NPI Details

ONE SOURCE HOME CARE SERVICES LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Juneau, AK. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. ONE SOURCE HOME CARE SERVICES LLC NPI is 1376175075. The provider is registered as an organization entity type.

The provider's business location address is:

9205 JAMES BLVD APT 102
JUNEAU, AK
ZIP 99801-671
Phone: (907) 500-3146
Fax: (907) 308-6707

The provider's authorized official is Sabrina Sue Cardinal .
The authorized official title is Chief Operating Officer/partner and has the following contact phone number (907) 500-3146.

The enumeration date for this NPI number is 2/10/2020 and was last updated on 9/11/2020.

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 Taxonomy Specialization License Number License State Primary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1UNKNOWNMEDICAIDALASKA

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: 11/21/2025

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