Mat-Su Valley II LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

297764 Issued in AK

Legal business name

MAT-SU VALLEY II LLC

Doing business as

Mat Su Regional Home Care

Practice address

950 E Bogard Rd
Suite 132
Wasilla, AK 99654-7105

Phone

(907) 861-6000

NPI assigned

Jan 3, 2008

Last updated

Nov 29, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Laurie Holtsford

Title

Authorized Official

Phone

(615) 465-7466

Specialties & licenses 1

Addresses

Other names 1

• Mat Su Regional Home Care Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Ancora Home Health & Hospice, LLC

  • Home Health Agency
  • Wasilla, AK
  • NPI 1801380043

  Sold to, 2018-08-31

  CMS change of ownership

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322524800000",
    "number": "1275718769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 E BOGARD RD",
            "address_2": "SUITE 132",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 E BOGARD RD",
            "address_2": "SUITE 132",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547105",
            "telephone_number": "907-861-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAT-SU VALLEY II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2011-11-29",
        "status": "A",
        "authorized_official_last_name": "HOLTSFORD",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-465-7466"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AK",
            "license": "297764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mat Su Regional Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mat-Su Services for Children & Adults
• Mat-Su Services for Children & Adults
• Mat-Su Services for Children & Adults
• Mat-Su Surgical Associates Apc
• Mat-Su Valley Counseling LLC
• Mat-Su Valley II LLC (Mat Su Regional Hospice)
• Mat-Su Valley Medical Center LLC (Mat-Su Regional Home Care)
• Kayla Mathiowetz, MS, CCC-SLP
• Farah Matlock
• Rhonda Lea Matlock

• Home Health Agency in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Home Health Agency in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.