NPIMap

Organization Active NPI

Stone Brook Inn, Inc

Doing business as Stone Brook Inn Inc Care Coordination

  • Case Management Agency
  • Soldotna, AK
National Provider Identifier
1386885184
Registry record updated Mar 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
STONE BROOK INN, INC
Doing business as
Stone Brook Inn Inc Care Coordination
Practice address
42340 Donna Circle
Soldotna, AK 99669
Phone
(907) 252-2679
Fax
(907) 262-1593
NPI assigned
Mar 9, 2009
Last updated
Mar 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2009

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

Authorized official

Name
Audra HedmanNPI 1376784173
Title
Owner/President
Phone
(907) 252-2679

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X AK Primary

Addresses

Primary practice location

42340 Donna Circle
Soldotna, AK 99669

Mailing address

PO Box 144
Soldotna, AK 99669-0144
Phone (907) 252-2679

Other names 1

  • Stone Brook Inn Inc Care Coordination Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Stone Brook Inn Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236556800000",
    "number": "1386885184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 144",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996690144",
            "telephone_number": "907-252-2679",
            "fax_number": "907-262-1593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42340 DONNA CIRCLE",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "99669",
            "telephone_number": "907-252-2679",
            "fax_number": "907-262-1593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONE BROOK INN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-09",
        "last_updated": "2009-03-09",
        "status": "A",
        "authorized_official_last_name": "HEDMAN",
        "authorized_official_first_name": "AUDRA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "907-252-2679"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stone Brook Inn Inc Care Coordination",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Soldotna, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; 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.