Active NPI
Asante Community Services, LLC
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Fairbanks, AK
National Provider Identifier
1194588913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- ASANTE COMMUNITY SERVICES, LLC
- Practice address
- 1017 27TH Ave Apt 3
Fairbanks, AK 99701-6900 - Phone
- (917) 822-1687
- NPI assigned
- Feb 5, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Erick Owino Juma
- Title
- Administrator
- Phone
- (917) 822-1687
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
1017 27TH Ave Apt 3
Fairbanks, AK 99701-6900
Mailing address
1017 27TH Ave Apt 3
Fairbanks, AK 99701-6900
Phone (917) 822-1687
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707091200000",
"number": "1194588913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1017 27TH AVE APT 3",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997016900",
"telephone_number": "917-822-1687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1017 27TH AVE APT 3",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997016900",
"telephone_number": "917-822-1687"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASANTE COMMUNITY SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-05",
"last_updated": "2024-02-05",
"certification_date": "2024-02-04",
"status": "A",
"authorized_official_last_name": "JUMA",
"authorized_official_first_name": "ERICK",
"authorized_official_middle_name": "OWINO",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "917-822-1687"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.