South Peninsula Behavioral Health SVCS Inc

Primary specialty

Respite CareTaxonomy code 385H00000X

Legal business name

SOUTH PENINSULA BEHAVIORAL HEALTH SVCS INC

Practice address

3948 Ben Walters LN
Homer, AK 99603-7708

Phone

(907) 235-7701

Fax

(907) 235-9147

NPI assigned

Apr 17, 2007

Organization subpart

No

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

Authorized official

Name

Nina Allen

Title

Chief Executive Officer

Phone

(907) 235-7701

Specialties & licenses 1

Addresses

Tax ID family

Community Mental Health Center2 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.

• South Peninsula Behavioral Health Services Inc

  • Community/Behavioral Health Agency
  • Homer, AK
  • NPI 1285640961
  NPD tax ID

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124244660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3948 BEN WALTERS LN",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037708",
            "telephone_number": "907-235-7701",
            "fax_number": "907-235-9147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3948 BEN WALTERS LN",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037708",
            "telephone_number": "907-235-7701",
            "fax_number": "907-235-9147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH PENINSULA BEHAVIORAL HEALTH SVCS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "NINA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "907-235-7701"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhema Fay Smith, MASSAGE THERAPIST
• Steven Smith
• Sound View Assisted Living, Inc.
• South Peninsula Behavioral Health
• South Peninsula Behavioral Health Services Inc
• South Peninsula General Surgery LLC
• South Peninsula Hospital, Inc
• South Peninsula Hospital, Inc
• South Peninsula Hospital, Inc.
• South Pennisula Hospital Phcy

• Respite Care in Homer, AK
• Providers in Homer, AK by specialty
• Respite Care in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.