Paul Wilfred Barras III

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

101565 Issued in AK

Practice address

221 Anna St N
Palmer, AK 99645-6821

Phone

(907) 602-9642

NPI assigned

Sep 22, 2023

Last updated

Apr 11, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: admin@jollycare.directak.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jolly Care Assisted Living Home LLC

  • Custodial Care Facility
  • Palmer, AK
  • NPI 1386501526
  NPD Authorized official

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

{
    "created_epoch": "1695340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1235918954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 ANNA ST N",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456821",
            "telephone_number": "907-602-9642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 ANNA ST N",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456821",
            "telephone_number": "907-602-9642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRAS",
        "first_name": "PAUL",
        "middle_name": "WILFRED",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-22",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "AK",
            "license": "101565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@jollycare.directak.net",
            "affiliation": "N",
            "endpointDescription": "healtheConnect Alaska Direct Administrator Portal and Mailbox",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "221 Anna St N",
            "city": "Palmer",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996456821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Leigh Ann Barker
• Emily Barkley
• Meghan Barnett Sonnabend, PA-C
• Kaitlyn Marie Barnett
• Lauren Barr
• Mary Alison Barrett, FNP
• Jessica Barry, MD
• Douglas George Bartko, RPH
• Elvira N Bartlett, LMT
• Ashley Diane Baugh

• Assisted Living Facility (Mental Illness) in Palmer, AK
• Providers in Palmer, AK by specialty
• Assisted Living Facility (Mental Illness) in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.