SUNSET DEVELOPMENT CO OF KODIAK NPI 1912022948

NPI Information

NPI: 1912022948
Provider Name: SUNSET DEVELOPMENT CO OF KODIAK

Doing Business As: BAYVIEW TERRACE

Classification: Respite Care - 385H00000X
Entity Type: Organization
Address:
309 ERSKINE AVE APT 208
KODIAK, AK
ZIP 99615
Phone: (907) 481-1607
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SUNSET DEVELOPMENT CO OF KODIAK is a respite care in Kodiak, AK. The provider is definition to come. SUNSET DEVELOPMENT CO OF KODIAK NPI is 1912022948. The provider is registered as an organization entity type.
The provider Is Doing Business As Bayview Terrace.

The provider's business location address is:

309 ERSKINE AVE APT 208
KODIAK, AK
ZIP 99615-390
Phone: (907) 481-1607

The provider's authorized official is Lisa Ann Cooper .
The authorized official title is Administrator and has the following contact phone number (907) 481-1607.

The enumeration date for this NPI number is 3/20/2007 and was last updated on 8/22/2020.

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
1	385H00000X	Respite Care			ALASKA	Yes

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
1	HC9400	MEDICAID	ALASKA

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

NPI Synchronization or Removal

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