Organization Active NPI

Elder Options of Alaska

  • Case Management Agency
  • Homer, AK
National Provider Identifier
1619156254
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
ELDER OPTIONS OF ALASKA
Practice address
60788 Bear Creek Dr
Homer, AK 99603-9461
Phone
(907) 299-0352
Fax
(907) 235-4093
NPI assigned
Oct 31, 2007
Last updated
Jul 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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

Authorized official

Name
Pamela S Horazdovsky, BSW, MAGNPI 1750415881
Title
Owner/Adminstrator
Phone
(907) 299-0352

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary
Private Vehicle 347C00000X HC1641 AK
Respite Care 385H00000X HC1641 AK

Addresses

Primary practice location

60788 Bear Creek Dr
Homer, AK 99603-9461

Mailing address

60788 Bear Creek Dr
Homer, AK 99603-9461
Phone (907) 299-0352

Other identifiers 3

IdentifierTypeStateIssuer
CMG641MedicaidAK
HC1641MedicaidAK
CM79951MedicaidAK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1619156254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60788 BEAR CREEK DR",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996039461",
            "telephone_number": "907-299-0352",
            "fax_number": "907-235-4093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60788 BEAR CREEK DR",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996039461",
            "telephone_number": "907-299-0352",
            "fax_number": "907-235-4093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDER OPTIONS OF ALASKA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "HORAZDOVSKY",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/ADMINSTRATOR",
        "authorized_official_telephone_number": "907-299-0352",
        "authorized_official_credential": "BSW, MAG"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "AK",
            "license": "HC1641",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "AK",
            "license": "HC1641",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CMG641",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HC1641",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CM79951",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homer, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; 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.