Organization Active NPI

Asante Community Services, LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Fairbanks, AK
National Provider Identifier
1194588913
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
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

Updated by the provider on Feb 5, 2024

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.