Active NPI
Kat's Eldercare LLC
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Kasilof, AK
National Provider Identifier
1407985583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- License
- 000238
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RL36261 | Medicaid | AK |
National Provider Directory
National Provider Directory- Tax ID family
- Kat's Eldercare LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Private Vehicle
- Kasilof, AK
- NPI 1427187434
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.