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SHANGRI'LA RANCH NPI 1700143211


NPI Information

NPI: 1700143211
Provider Name: SHANGRI'LA RANCH
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization
Address:
782 ADVENTURE RD
FAIRBANKS, AK
ZIP 99712
Phone: (907) 687-7775
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SHANGRI'LA RANCH is a day training developmentally disabled services in Fairbanks, AK. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. SHANGRI'LA RANCH NPI is 1700143211. The provider is registered as an organization entity type.

The provider's business location address is:

782 ADVENTURE RD
FAIRBANKS, AK
ZIP 99712-330
Phone: (907) 687-7775

The provider's authorized official is Karma Sparks Brown .
The authorized official title is Owner/operator and has the following contact phone number (907) 687-7775.

The enumeration date for this NPI number is 4/20/2012 and was last updated on 4/20/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1253Z00000XIn Home Supportive CareALASKANo
2251C00000XDay Training, Developmentally Disabled ServicesALASKAYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.