Individual provider Active NPI

Phillip F Augafa

  • In Home Supportive Care Agency
  • Anchorage, AK
National Provider Identifier
1316601990
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
101453 Issued in AK
Practice address
2140 Jarvis Ave
Anchorage, AK 99515-4051
Phone
(907) 764-1061
NPI assigned
Oct 28, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 101453 AK Primary

Addresses

Primary practice location

2140 Jarvis Ave
Anchorage, AK 99515-4051

Mailing address

2140 Jarvis Ave
Anchorage, AK 99515-4051
Phone (907) 764-1061

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
101453AKMDIn Home Supportive Care Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Mia'S Place In Home Supportive Care CurrentSince Oct 31, 2021 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1316601990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 JARVIS AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995154051",
            "telephone_number": "907-764-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 JARVIS AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995154051",
            "telephone_number": "907-764-1061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUGAFA",
        "first_name": "PHILLIP",
        "middle_name": "F",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-28",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "AK",
            "license": "101453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.