Organization Active NPI

Greenwood Care Services, LLC

  • In Home Supportive Care Agency
  • Anchorage, AK
National Provider Identifier
1164019329
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GREENWOOD CARE SERVICES, LLC
Practice address
8100 Greenwood St
Anchorage, AK 99518-3318
Phone
(907) 646-2273
Fax
(907) 865-5956
NPI assigned
Dec 22, 2020
Last updated
Dec 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Authorized official

Name
Lizaldy PinoNPI 1306082979
Title
Program Supervisor
Phone
(907) 646-2273

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

8100 Greenwood St
Anchorage, AK 99518-3318

Mailing address

8100 Greenwood St
Anchorage, AK 99518-3318
Phone (907) 646-2273

Other identifiers 2

IdentifierTypeStateIssuer
1602351MedicaidAK
1629621MedicaidAK

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@gcs.directak.net Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1608595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608595200000",
    "number": "1164019329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 GREENWOOD ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995183318",
            "telephone_number": "907-646-2273",
            "fax_number": "907-865-5956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 GREENWOOD ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995183318",
            "telephone_number": "907-646-2273",
            "fax_number": "907-865-5956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWOOD CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-22",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A",
        "authorized_official_last_name": "PINO",
        "authorized_official_first_name": "LIZALDY",
        "authorized_official_title_or_position": "PROGRAM SUPERVISOR",
        "authorized_official_telephone_number": "907-646-2273"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1602351",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629621",
            "state": "AK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@gcs.directak.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "8100 Greenwood St",
            "city": "Anchorage",
            "state": "AK",
            "country_code": "US",
            "postal_code": "995183318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

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