NPIMap

Organization Active NPI

Catholic Community Service

Doing business as Swan Lake Senior Center

  • Meals Provider
  • Sitka, AK
National Provider Identifier
1205954492
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Meals ProviderTaxonomy code 174200000X
Legal business name
CATHOLIC COMMUNITY SERVICE
Doing business as
Swan Lake Senior Center
Practice address
402 Lake St
Sitka, AK 99835-7401
Phone
(907) 463-6149
NPI assigned
Mar 26, 2007
Last updated
Mar 25, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Authorized official

Name
Jennifer Carson
Title
HHCJ Director/Compliance Officer
Phone
(907) 463-6162

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Meals Provider 174200000X Primary

Addresses

Primary practice location

402 Lake St
Sitka, AK 99835-7401

Mailing address

1803 Glacier Hwy
Juneau, AK 99801-7804
Phone (907) 463-6100

Other identifiers 2

IdentifierTypeStateIssuer
HC2658MedicaidAK
1004620MedicaidAK

Other names 1

  • SWAN LAKE SENIOR CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Catholic Community Service15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Locations

402 Lake St
Sitka, AK 99835

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616630400000",
    "number": "1205954492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 GLACIER HWY",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998017804",
            "telephone_number": "907-463-6100",
            "fax_number": "907-586-9018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 LAKE ST",
            "city": "SITKA",
            "state": "AK",
            "postal_code": "998357401",
            "telephone_number": "907-463-6149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC COMMUNITY SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A",
        "authorized_official_last_name": "CARSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "HHCJ DIRECTOR/COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "907-463-6162"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HC2658",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1004620",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SWAN LAKE SENIOR CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SWAN LAKE SENIOR CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sitka, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; 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.