Island Blessings Care

Primary specialty

Child Physical Disabilities Respite CareTaxonomy code 385HR2065X

License

101073 Issued in AK

Legal business name

ISLAND BLESSINGS CARE

Practice address

10322 Chain of Rock St
Eagle River, AK 99577

Phone

(907) 538-9667

Fax

(907) 538-4002

NPI assigned

Oct 13, 2014

Last updated

Oct 13, 2014By 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

Kaylene LauanoNPI 1659773422

Title

Owner

Phone

(907) 538-9667

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kaylene Lauano

  • Community Health Worker
  • Eagle River, AK
  • NPI 1659773422
  NPD (past) Authorized official

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

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413158400000",
    "number": "1356745863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10322 CHAIN OF ROCK ST",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778184",
            "telephone_number": "907-538-9667",
            "fax_number": "907-929-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10322 CHAIN OF ROCK ST",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "99577",
            "telephone_number": "907-538-9667",
            "fax_number": "907-538-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND BLESSINGS CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-13",
        "last_updated": "2014-10-13",
        "status": "A",
        "authorized_official_last_name": "LAUANO",
        "authorized_official_first_name": "KAYLENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-538-9667"
    },
    "taxonomies": [
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": "AK",
            "license": "101073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1659773422",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Respite Care in Eagle River, AK
• Providers in Eagle River, AK by specialty
• Respite Care in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; 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.