9 Tales Care Coordination LLC

Key facts

NPI

1548049422

Entity type

Organization (NPI type 2)

Primary specialty

Case Manager/Care Coordinator 171M00000X

Legal business name

9 TALES CARE COORDINATION LLC

Practice address

6912 Gold Kings Ave # a
Anchorage, AK 99504-1174

Phone

(907) 313-5424

Fax

(907) 313-5424

NPI assigned

Sep 28, 2023

Organization subpart

No

Authorized official

Name

Jakson Rakoy Kitsune

Title

Owner/Deputy Administrator

Phone

(907) 717-6199

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 3, 2023.

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696291200000",
    "number": "1548049422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6912 GOLD KINGS AVE # A",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995041174",
            "telephone_number": "907-313-5424",
            "fax_number": "907-313-5424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6912 GOLD KINGS AVE # A",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995041174",
            "telephone_number": "907-313-5424",
            "fax_number": "907-313-5424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "9 TALES CARE COORDINATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-28",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A",
        "authorized_official_last_name": "KITSUNE",
        "authorized_official_first_name": "JAKSON",
        "authorized_official_middle_name": "RAKOY",
        "authorized_official_title_or_position": "OWNER/DEPUTY ADMINISTRATOR",
        "authorized_official_telephone_number": "907-717-6199"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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