Northwest Independence Care LLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

987297 Issued in AK

Legal business name

NORTHWEST INDEPENDENCE CARE LLC

Practice address

2701 Kempton Hills Dr
Anchorage, AK 99516-2749

Phone

(907) 575-8501

Fax

(907) 644-0601

NPI assigned

Jan 31, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Catherine Evans, LCSW

Title

Care Coordinator Administrator

Phone

(907) 575-8501

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1391126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391126400000",
    "number": "1205259926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110382",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995110382",
            "telephone_number": "907-575-8501",
            "fax_number": "907-644-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 KEMPTON HILLS DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995162749",
            "telephone_number": "907-575-8501",
            "fax_number": "907-644-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST INDEPENDENCE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-31",
        "last_updated": "2014-01-31",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "CARE COORDINATOR ADMINISTRATOR",
        "authorized_official_telephone_number": "907-575-8501",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "AK",
            "license": "987297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Health Maintenance Organization in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; 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.