Mat-Su Activity and Respite Center

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

MAT-SU ACTIVITY AND RESPITE CENTER

Practice address

951 E Bogard Rd
Suite 101
Wasilla, AK 99654-7113

Phone

(907) 357-8622

Fax

(907) 357-8624

NPI assigned

Mar 7, 2007

Organization subpart

No

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

Authorized official

Name

Laura SasseenNPI 1225168396

Title

Executive Director

Phone

(907) 357-8622

Specialties & licenses 1

Addresses

Tax ID family

Mat-Su Activity and Respite Ce2 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.

• Mat-Su Activity and Respite Center

  • Developmentally Disabled Services Day Training Agency
  • Wasilla, AK
  • NPI 1679603740
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laura Sasseen

  • Case Manager/Care Coordinator
  • Wasilla, AK
  • NPI 1225168396
  NPD (past) Authorized official

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203292800000",
    "number": "1124158019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 E BOGARD RD",
            "address_2": "SUITE 101",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547113",
            "telephone_number": "907-357-8622",
            "fax_number": "907-357-8624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 E BOGARD RD",
            "address_2": "SUITE 101",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547113",
            "telephone_number": "907-357-8622",
            "fax_number": "907-357-8624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAT-SU ACTIVITY AND RESPITE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2008-02-18",
        "status": "A",
        "authorized_official_last_name": "SASSEEN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "907-357-8622"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mat Su Valley Medical Center LLC
• Mat Su Valley Medical Center LLC
• Mat Su Youth Housing
• Mat Su Youth Housing
• Mat Su Youth Housing-My House
• Mat-Su Activity and Respite Center
• Mat-Su Birth Center, LLC
• Mat-Su Chiropractic LLC
• Mat-Su Community Pediatrics, P.C.
• Mat-Su Dental Center, Inc.

• Case Management Agency in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Case Management Agency in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.