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ANCORA HOME HEALTH & HOSPICE LLC NPI 1801380043


NPI Information

NPI: 1801380043
Provider Name: ANCORA HOME HEALTH & HOSPICE, LLC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 02D2154114

Address:
2851 E PALMER WASILLA HWY STE 7
WASILLA, AK
ZIP 99654
Phone: (907) 561-9240
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ANCORA HOME HEALTH & HOSPICE, LLC is a hospice care community based in Wasilla, AK. ANCORA HOME HEALTH & HOSPICE, LLC NPI is 1801380043. The provider is registered as an organization entity type.

The provider's business location address is:

2851 E PALMER WASILLA HWY STE 7
WASILLA, AK
ZIP 99654-499
Phone: (907) 561-9240
Fax: (866) 934-0349

The provider's authorized official is Gregory Chad Mangum .
The authorized official title is Ceo and has the following contact phone number (435) 881-9601.

The CLIA number assigned to this NPI record is 02D2154114 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/20/2018 and was last updated on 3/2/2021.


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
1251E00000XHome HealthNo
2251G00000XHospice Care, Community BasedYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1NAOTHERNA

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

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