Active NPI
Phillip F Augafa
- In Home Supportive Care Agency
- Anchorage, AK
National Provider Identifier
1316601990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 101453
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 101453 | AK | MD | In Home Supportive Care Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mia'S Place | In Home Supportive Care | Current | 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.
-
- In Home Supportive Care Agency
- Anchorage, AK
- NPI 1134883689
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.