NPIMap

Organization Active NPI

Knik Tribe

  • In Home Supportive Care Agency
  • Palmer, AK
National Provider Identifier
1609680842
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
KNIK TRIBE
Doing business as
Senior Services
Practice address
1744 N Prospect Dr
Palmer, AK 99645-9655
Phone
(907) 373-7991
NPI assigned
Feb 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Authorized official

Name
Rista Shelley
Title
Elder Support Specialist
Phone
(907) 373-7991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1744 N Prospect Dr
Palmer, AK 99645-9655

Mailing address

PO Box 871565
Wasilla, AK 99687-1565

Other names 1

  • Senior Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Knik Tribe2 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.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1738800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1609680842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 871565",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996871565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1744 N PROSPECT DR",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996459655",
            "telephone_number": "907-373-7991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNIK TRIBE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-06",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "SHELLEY",
        "authorized_official_first_name": "RISTA",
        "authorized_official_title_or_position": "ELDER SUPPORT SPECIALIST",
        "authorized_official_telephone_number": "907-373-7991"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Senior Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palmer, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; 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.