360 Care Coordination of Alaska, LLC

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

360 CARE COORDINATION OF ALASKA, LLC

Practice address

7256 Price Drive
140075
Salcha, AK 99714-9971

Phone

(248) 226-0577

NPI assigned

Feb 27, 2024

Last updated

Feb 27, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Tucker, PHARMDNPI 1962268912

Title

Program Administrator

Phone

(248) 226-0577

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Tucker, PHARMD

  • Case Manager/Care Coordinator
  • Salcha, AK
  • NPI 1962268912
  NPD Authorized official

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

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708992000000",
    "number": "1588420533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 140075",
            "city": "SALCHA",
            "state": "AK",
            "postal_code": "997140075",
            "telephone_number": "248-226-0577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7256 PRICE DRIVE",
            "address_2": "140075",
            "city": "SALCHA",
            "state": "AK",
            "postal_code": "997149971",
            "telephone_number": "248-226-0577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "360 CARE COORDINATION OF ALASKA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-27",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-26",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PROGRAM ADMINISTRATOR",
        "authorized_official_telephone_number": "248-226-0577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Adams
• Interior Care Coordination LLC
• Amy Tucker
• Jennifer Tucker, PHARMD

• Case Manager/Care Coordinator in Salcha, AK
• Providers in Salcha, AK by specialty
• Case Manager/Care Coordinator in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.