NPIMap

Organization Active NPI

C Care Services, LLC

  • Supports Brokerage Agency
  • Wasilla, AK
National Provider Identifier
1225228414
Registry record updated Jul 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Supports Brokerage AgencyTaxonomy code 251X00000X
License
436948 Issued in AK
Legal business name
C CARE SERVICES, LLC
Practice address
991 S Hermon Rd
Suite 400 a
Wasilla, AK 99654-7312
Phone
(907) 830-0518
Fax
(907) 563-5047
NPI assigned
Jul 25, 2007
Last updated
Jul 25, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2007

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

Authorized official

Name
Mrs. Cecilia De Leon
Title
Owner
Phone
(907) 830-0518

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Supports Brokerage Agency 251X00000X 436948 AK Primary

Addresses

Primary practice location

991 S Hermon Rd
Suite 400 a
Wasilla, AK 99654-7312

Mailing address

991 S Hermon Rd
Suite 400 a
Wasilla, AK 99654-7312
Phone (907) 830-0518

Other identifiers 1

IdentifierTypeStateIssuer
PCG 291MedicaidAK

National Provider Directory

National Provider Directory
Tax ID family
C Care Services LLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

991 S Hermon Rd
Ste 400A
Wasilla, AK 99654
Phone (907) 830-0518

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185321600000",
    "number": "1225228414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "991 S HERMON RD",
            "address_2": "SUITE 400 A",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547312",
            "telephone_number": "907-830-0518",
            "fax_number": "907-563-5047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "991 S HERMON RD",
            "address_2": "SUITE 400 A",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547312",
            "telephone_number": "907-830-0518",
            "fax_number": "907-563-5047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-07-25",
        "status": "A",
        "authorized_official_last_name": "DE LEON",
        "authorized_official_first_name": "CECILIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-830-0518",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": "AK",
            "license": "436948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PCG 291",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; 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.