NPIMap

Organization Active NPI

Bartlett Regional Hospital

Doing business as Bartlett Home Health and Hospice

  • Community Based Hospice Care Agency
  • Juneau, AK
National Provider Identifier
1437840576
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
BARTLETT REGIONAL HOSPITAL
Doing business as
Bartlett Home Health and Hospice
Practice address
641 W Willoughby Ave Ste 204
Juneau, AK 99801-1748
Phone
(907) 796-8900
NPI assigned
May 18, 2023
Last updated
Nov 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Authorized official

Name
Joseph Wanner
Title
Chief Financial Officer
Phone
(907) 796-8900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

641 W Willoughby Ave Ste 204
Juneau, AK 99801-1748

Mailing address

3260 Hospital Dr
Juneau, AK 99801-7808
Phone (907) 796-8900

Other names 1

  • Bartlett Home Health and Hospice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230616000053 AK Part A Provider - Hospice 2668464850 Practice locations: Juneau, AK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1437840576. Details of each certification follow.

Hospice certification: CCN 021510

Legal name
BARTLETT REGIONAL HOSPITAL
Doing business as
BARTLETT HOME HEALTH AND HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 11, 2023
Last certification
Dec 28, 2023
Ownership / control type
Government - City
Organization structure
OtherNon-profit
Incorporated
Jan 1, 1965 in AK
Enrollment address
641 W Willoughby Ave
Ste 204
Juneau, AK 99801-1748

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Bartlett Home Health and HospiceCCN 021510 · All quality measures
Certified
Dec 11, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Bartlett Memorial Hospi9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kim McDowell Individual Corporate OfficerChief Nursing Officer May 2, 2021
Kimberly Stout Individual Corporate DirectorExecutive Director of Post Acute Apr 16, 2023
Operational/Managerial ControlAdministrator May 12, 2023
Timothy D Peterson Individual Contracted Managing EmployeeMD; Apr 1, 2023
City and Borough of Juneau Alaska Organization, Juneau, AK Non-profit 5% Or Greater Direct Ownership Interest Feb 9, 1991 100%
Joseph Wanner Individual Corporate OfficerChief Financial Officer/Authoriz Nov 14, 2023
Kenny Solomon-Gross Individual Other Dec 1, 2020
Tami M Lawson-Churchill Individual W-2 Managing EmployeePFS Director Jan 1, 2023

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Wildflower CourtJuneau, AK, CCN 025027 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 10, 2023
Apr 29, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

NPI Registry JSON

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700524800000",
    "number": "1437840576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3260 HOSPITAL DR",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998017808",
            "telephone_number": "907-796-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 W WILLOUGHBY AVE STE 204",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998011748",
            "telephone_number": "907-796-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARTLETT REGIONAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-18",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A",
        "authorized_official_last_name": "WANNER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "907-796-8900"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bartlett Home Health and Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Juneau, AK

Sources for this page

Verify at the official NPI Registry.