Kachemak Care Coordination LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

KACHEMAK CARE COORDINATION LLC

Practice address

4896 Clover LN
Homer, AK 99603-8116

Phone

(907) 299-9087

NPI assigned

Jan 2, 2023

Organization subpart

No

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

Authorized official

Name

Katrina Jonhson

Title

Owner

Phone

(907) 299-9087

Specialties & licenses 1

Addresses

Other names 1

• Kachemak Care Coordination Doing business as

Electronic endpoints 1

Interoperability endpoints

• Direct secure messaging: katrina.johnson@ccaoh.directak.net

Practitioners 1

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

• Katrina Johnson

  • Case Manager/Care Coordinator
  • Homer, AK
  • NPI 1932627080
  NPD

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

{
    "created_epoch": "1672617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672617600000",
    "number": "1497468722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 SMOKY BAY WAY STE 104",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037653",
            "telephone_number": "907-299-9087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4896 CLOVER LN",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996038116",
            "telephone_number": "907-299-9087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KACHEMAK CARE COORDINATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-02",
        "last_updated": "2023-01-02",
        "certification_date": "2023-01-02",
        "status": "A",
        "authorized_official_last_name": "JONHSON",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-299-9087"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katrina.johnson@ccaoh.directak.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4896 Clover Ln",
            "city": "Homer",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996038116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Kachemak Care Coordination",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sara Julig
• K-Bay Kids LLC
• Kachemak Bay Family Planning Clinic
• Kachemak Bay Medical Clinic
• Kachemak Care Coordination
• Kachemak House LLC
• Kachemak Way Assisted Living, Inc.
• Judith Waterman Kamara, BSNRN, CLC, LCSW
• Kamuck Incorporated
• Hope Karnemaat

• Case Management Agency in Homer, AK
• Providers in Homer, AK by specialty
• Case Management Agency in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2023; 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.