Organization Active NPI

Priority Home Healthcare

  • Supports Brokerage Agency
  • Juneau, AK
National Provider Identifier
1073714093
Registry record updated Oct 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Supports Brokerage AgencyTaxonomy code 251X00000X
License
PCG 245 Issued in AK
Legal business name
PRIORITY HOME HEALTHCARE
Practice address
3100 Channel Dr
Suite 314
Juneau, AK 99801-7814
Phone
(907) 364-3584
Fax
(240) 218-0874
NPI assigned
May 29, 2007
Last updated
Oct 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Graham J SmithNPI 1932230190
Title
Owner
Phone
(907) 364-3584

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Supports Brokerage Agency 251X00000X PCG 245 AK Primary

Addresses

Primary practice location

3100 Channel Dr
Suite 314
Juneau, AK 99801-7814

Mailing address

PO Box 210805
Auke Bay, AK 99821-0805
Phone (907) 364-3584

Other identifiers 1

IdentifierTypeStateIssuer
PCG 245MedicaidAK

National Provider Directory

National Provider Directory
Tax ID family
Priority Home Healthcare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222905600000",
    "number": "1073714093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 210805",
            "city": "AUKE BAY",
            "state": "AK",
            "postal_code": "998210805",
            "telephone_number": "907-364-3584",
            "fax_number": "240-218-0874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 CHANNEL DR",
            "address_2": "SUITE 314",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998017814",
            "telephone_number": "907-364-3584",
            "fax_number": "240-218-0874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIORITY HOME HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2008-10-02",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "GRAHAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-364-3584",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": "AK",
            "license": "PCG 245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PCG 245",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Juneau, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.