Ancora Home Health & Hospice, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ANCORA HOME HEALTH & HOSPICE, LLC

Practice address

3831 E Blue Lupine Dr Ste B
Wasilla, AK 99654-8461

Phone

(907) 561-9240

Fax

(866) 934-0349

NPI assigned

Jun 21, 2018

Organization subpart

No

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

Authorized official

Name

Gregory Chad Mangum, RN

Title

Ceo

Phone

(907) 561-0700

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Hospice certification: CCN 021500

Legal name

ANCORA HOME HEALTH & HOSPICE, LLC

Doing business as

ANCORA HOME HEALTH & HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Nov 25, 1993

Last certification

May 20, 2022

Ownership / control type

Proprietary - Partnership

Organization structure

LLCProprietary

Incorporated

Jan 18, 2018 in AK

Enrollment address

3831 E Blue Lupine Dr
Ste B
Wasilla, AK 99654-8461

Other NPIs with the same Medicare PAC ID 1

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

• Ancora Home Health & Hospice, LLC

  • Home Health Agency
  • Wasilla, AK
  • NPI 1801380043

  6800149451

  Same PAC ID

Listed as

Ancora Home Health & Hospice, LLCCCN 021500

Ownership

For-Profit

Certified

Nov 25, 1993

Medicare certification status

ActiveFrom the Provider of Services file

Tax ID family

Ancora Home Health Hospice 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.

• Ancora Home Health & Hospice, LLC

  • Home Health Agency
  • Wasilla, AK
  • NPI 1801380043
  NPD tax ID

Locations

All disclosed owners & managing parties 10

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

Owners & managing parties with NPI records 2

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

• Jeffrey Melendez, MD

  • Hospitalist Physician
  • Anchorage, AK
  • NPI 1801914023

  Contracted Managing Employee

  CMS ownership
• Mark Lavon Jorgensen, M.S., P.T.

  • Physical Therapist
  • Paradise, UT
  • NPI 1578826947

  5% Or Greater Indirect Ownership Interest

  CMS ownership

Facilities with the same owner 1

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

• Ancora Home Health & Hospice, LLC

  • Home Health Agency
  • Wasilla, AK
  • NPI 1801380043

  Mark Jorgensen PT PC LLC, The Osiris Group

  CMS ownership

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Mat-Su Valley II LLC

  • Community Based Hospice Care Agency
  • Wasilla, AK
  • NPI 1750567640

  Acquired from, 2018-08-31

  CMS change of ownership

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sarah J Nieman

  • Occupational Therapist
  • Wasilla, AK
  • NPI 1720795982
  NPD
• Abigail Peters

  • Physical Therapist
  • Wasilla, AK
  • NPI 1487481727
  NPD
• Mark Lavon Jorgensen, M.S., P.T.

  • Physical Therapist
  • Paradise, UT
  • NPI 1578826947
  NPD

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Jeffrey Melendez, MD

  • Hospitalist Physician
  • Anchorage, AK
  • NPI 1801914023

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1477047579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 S MAIN ST STE 210",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843215768",
            "telephone_number": "907-561-9240",
            "fax_number": "866-934-0349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3831 E BLUE LUPINE DR STE B",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996548461",
            "telephone_number": "907-561-9240",
            "fax_number": "866-934-0349"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3501 Denali St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995034039",
            "country_code": "US",
            "telephone_number": "907-561-0700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANCORA HOME HEALTH & HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-21",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A",
        "authorized_official_last_name": "MANGUM",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "CHAD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "907-561-0700",
        "authorized_official_credential": "RN"
    },
    "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": []
}

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• Lillian Kristine Anders
• Maghee Eloise Andersen
• Austin Anderson, OD
• Brittany Anderson

• Community Based Hospice Care Agency in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Community Based Hospice Care Agency in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.