Organization Active NPI

J - Care Coordinatio, LLC.

  • Case Management Agency
  • Soldotna, AK
National Provider Identifier
1124494356
Registry record updated Aug 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
J - CARE COORDINATIO, LLC.
Practice address
585 Trollius Ave
Soldotna, AK 99669-7731
Phone
(907) 262-7001
Fax
(907) 262-7001
NPI assigned
Aug 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2015

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

Authorized official

Name
Janice Justice
Title
Ownder/Administrator/Care Coordinat
Phone
(907) 262-7001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X AK Primary

Addresses

Primary practice location

585 Trollius Ave
Soldotna, AK 99669-7731

Mailing address

585 Trollius Ave
Soldotna, AK 99669-7731
Phone (907) 262-7001

Other identifiers 1

IdentifierTypeStateIssuer
1001064MedicaidAK

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1124494356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 TROLLIUS AVE",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697731",
            "telephone_number": "907-262-7001",
            "fax_number": "907-262-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 TROLLIUS AVE",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697731",
            "telephone_number": "907-262-7001",
            "fax_number": "907-262-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J - CARE COORDINATIO, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-11",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "JUSTICE",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "OWNDER/ADMINISTRATOR/CARE COORDINAT",
        "authorized_official_telephone_number": "907-262-7001"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1001064",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Soldotna, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.