One Source Home Care Services LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

ONE SOURCE HOME CARE SERVICES LLC

Practice address

9205 James Blvd Apt 102
Juneau, AK 99801-9671

Phone

(907) 500-3146

Fax

(907) 308-6707

NPI assigned

Feb 10, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Sabrina Sue Cardinal

Title

Chief Operating Officer/Partner

Phone

(907) 500-3146

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599782400000",
    "number": "1376175075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 492",
            "city": "CROOKSTON",
            "state": "MN",
            "postal_code": "567160492",
            "telephone_number": "907-500-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9205 JAMES BLVD APT 102",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998019671",
            "telephone_number": "907-500-3146",
            "fax_number": "907-308-6707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE SOURCE HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-10",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A",
        "authorized_official_last_name": "CARDINAL",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER/PARTNER",
        "authorized_official_telephone_number": "907-500-3146",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "UNKNOWN",
            "state": "AK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@oshc.directak.net",
            "affiliation": "N",
            "endpointDescription": "One Source DM",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11435 Glacier Hwy Unit 1A",
            "city": "Juneau",
            "state": "AK",
            "country_code": "US",
            "postal_code": "998018624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Taylor Camelia Hyde Olsen, RDH
• Lawrence M. Olson, LPC, MAC, CDCI
• Marlyn Dean Olson
• Nels Robert Olson, MSW, CDC1, HTR
• Sherry H Olson, LCSW
• Walter William Onstad
• Brittany Marie Ooman, LMT
• Alejandra Orihuela Silva
• David Otieno
• Norene N.M. Otnes, CFSW LL

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Juneau, AK
• Providers in Juneau, AK by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; 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.