Rooted Raven Supportive Services LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

ROOTED RAVEN SUPPORTIVE SERVICES LLC

Practice address

48765 Eileen St
Nikiski, AK 99611-6123

Phone

(907) 491-1661

NPI assigned

May 6, 2026

Organization subpart

No

Name

Mr. Michael Babin

Title

Owner

Phone

(907) 491-1661

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 6, 2026.

{
    "created_epoch": "1778025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1295662906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48765 EILEEN ST",
            "city": "NIKISKI",
            "state": "AK",
            "postal_code": "996116123",
            "telephone_number": "907-491-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48765 EILEEN ST",
            "city": "NIKISKI",
            "state": "AK",
            "postal_code": "996116123",
            "telephone_number": "907-491-1661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTED RAVEN SUPPORTIVE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-06",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A",
        "authorized_official_last_name": "BABIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-491-1661",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikiski Senior Citizens, Inc.
• Shauna Norton, NP
• Michele Erin Poletti
• R Lynn Carlson MD PC Medicenter
• Yolondia Rodland-Knodel, MS
• Shauna Norton, Anp, LLC

• All providers in Nikiski, AK
• Developmentally Disabled Services Day Training Agency in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.