NPIMap

Organization Active NPI

Starfish Cares LLC

  • Supports Brokerage Agency
  • Wasilla, AK
National Provider Identifier
1407067093
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Supports Brokerage AgencyTaxonomy code 251X00000X
License
742113 Issued in AK
Legal business name
STARFISH CARES LLC
Practice address
201 E Swanson Ave
Ste. #13
Wasilla, AK 99654-7026
Phone
(907) 376-1922
Fax
(907) 376-1925
NPI assigned
May 24, 2007
Last updated
May 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Authorized official

Name
Mrs. Maryk McNeel-Diehl, BSW
Title
Administrator/Owner
Phone
(907) 376-1922

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Supports Brokerage Agency 251X00000X 742113 AK Primary

Addresses

Primary practice location

201 E Swanson Ave
Ste. #13
Wasilla, AK 99654-7026

Mailing address

PO Box 298222
Wasilla, AK 99629-8222
Phone (907) 376-1922

Other identifiers 1

IdentifierTypeStateIssuer
$$$$$$$$$OtherAKSOCIAL SECURITY NUMBER

National Provider Directory

National Provider Directory

Locations

201 E Swanson Ave
Ste 13
Wasilla, AK 99654
Phone (907) 376-1922

Practitioners & affiliated clinicians

Practitioners 7

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": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1407067093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 298222",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996298222",
            "telephone_number": "907-376-1922",
            "fax_number": "907-376-1925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E SWANSON AVE",
            "address_2": "STE. #13",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547026",
            "telephone_number": "907-376-1922",
            "fax_number": "907-376-1925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARFISH CARES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "MCNEEL-DIEHL",
        "authorized_official_first_name": "MARYK",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "907-376-1922",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSW"
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": "AK",
            "license": "742113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL SECURITY NUMBER",
            "identifier": "$$$$$$$$$",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.