NPIMap

Organization Active NPI

Homer Senior Citizens, Inc.

  • Adult Day Care Clinic/Center
  • Homer, AK
National Provider Identifier
1235353970
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
203960 Issued in AK
Legal business name
HOMER SENIOR CITIZENS, INC.
Practice address
3935 Svedlund St
Homer, AK 99603-7673
Phone
(907) 235-7655
Fax
(907) 235-3739
NPI assigned
Apr 12, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Fred L Lau
Title
Administrator
Phone
(907) 235-7655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 203960 AK Primary

Addresses

Primary practice location

3935 Svedlund St
Homer, AK 99603-7673

Mailing address

3935 Svedlund St
Homer, AK 99603-7673
Phone (907) 235-7655

Other identifiers 1

IdentifierTypeStateIssuer
HC7789MedicaidAK

Other names 1

  • Friendship Center Adult Day Services Other name

National Provider Directory

National Provider Directory
Tax ID family
Friendship Terrace Assisted Living4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235353970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3935 SVEDLUND ST",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037673",
            "telephone_number": "907-235-7655",
            "fax_number": "907-235-3739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3935 SVEDLUND ST",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037673",
            "telephone_number": "907-235-7655",
            "fax_number": "907-235-3739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMER SENIOR CITIZENS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAU",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-235-7655"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "AK",
            "license": "203960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HC7789",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Friendship Center Adult Day Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Homer, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.