NPIMap

Organization Active NPI

Boys and Girls Home of Alaska

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Fairbanks, AK
National Provider Identifier
1457528366
Registry record updated May 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
BOYS AND GIRLS HOME OF ALASKA
Practice address
3101 Lathrop Street
Fairbanks, AK 99707-0870
Phone
(907) 479-0560
Fax
(907) 479-0560
NPI assigned
May 9, 2008
Organization subpart
Yes
Parent organization
BOYS AND GIRLS HOME AND FAMILY SERVICES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 9, 2008

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

Authorized official

Name
Mr. Robert P Sheehan, MSW
Title
Administrator
Phone
(907) 479-0560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

3101 Lathrop Street
Fairbanks, AK 99707-0870

Mailing address

3101 Lathrop Street
PO Box 70870
Fairbanks, AK 99707-0870
Phone (907) 479-0560

National Provider Directory

National Provider Directory
Tax ID family
Boys and Girls Home of Alaska3 organizations share this tax ID, including this one
Part of
Boys and Girls Home of Alaska

Other organizations with this tax ID 2

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": "1210291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210291200000",
    "number": "1457528366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 LATHROP STREET",
            "address_2": "PO BOX 70870",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997070870",
            "telephone_number": "907-479-0560",
            "fax_number": "907-479-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 LATHROP STREET",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997070870",
            "telephone_number": "907-479-0560",
            "fax_number": "907-479-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOYS AND GIRLS HOME OF ALASKA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOYS AND GIRLS HOME AND FAMILY SERVICES INC",
        "enumeration_date": "2008-05-09",
        "last_updated": "2008-05-09",
        "status": "A",
        "authorized_official_last_name": "SHEEHAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-479-0560",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; 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.