Organization Active NPI

Kat's Eldercare LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Kasilof, AK
National Provider Identifier
1407985583
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
000238 Issued in AK
Legal business name
KAT'S ELDERCARE LLC
Practice address
53030 Aurora Ave.
Kasilof, AK 99610
Phone
(907) 262-0496
Fax
(907) 260-3340
NPI assigned
Mar 5, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kathy Ann Walsh
Title
Administrator
Phone
(907) 262-0496

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 000238 AK Primary

Addresses

Primary practice location

53030 Aurora Ave.
Kasilof, AK 99610

Mailing address

PO Box 55
Kasilof, AK 99610
Phone (907) 262-0496

Other identifiers 1

IdentifierTypeStateIssuer
RL36261MedicaidAK

National Provider Directory

National Provider Directory
Tax ID family
Kat's Eldercare LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407985583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55",
            "city": "KASILOF",
            "state": "AK",
            "postal_code": "99610",
            "telephone_number": "907-262-0496",
            "fax_number": "907-260-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53030 AURORA AVE.",
            "city": "KASILOF",
            "state": "AK",
            "postal_code": "99610",
            "telephone_number": "907-262-0496",
            "fax_number": "907-260-3340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAT'S ELDERCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-262-0496"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "AK",
            "license": "000238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RL36261",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kasilof, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.