Aurora Borealis Home Health LLC
Organization Active NPI Home Health Agency · Wasilla, AK
NPI 1629429253 · NPPES record last updated Jun 24, 2016
Key facts
- NPI
- 1629429253
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 1038867 (AK)
- Legal business name
- AURORA BOREALIS HOME HEALTH LLC
- Practice address
- 4900 E Palmer Wasilla Hwy Ste 4
Wasilla, AK 99654-7752 - Phone
- (907) 376-6930
- Fax
- (907) 357-6903
- NPI assigned
- Jun 24, 2016
- Organization subpart
- No
Authorized official
- Name
- Yakov Yushuvayev
- Title
- Member
- Phone
- (917) 864-3328
Practitioners 1
-
Jacqueline Kotter, BSW
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 1038867 | AK | Yes |
Addresses
Primary practice location
4900 E Palmer Wasilla Hwy Ste 4
Wasilla, AK 99654-7752
Mailing address
4900 E Palmer Wasilla Hwy Ste 4
Wasilla, AK 99654-7752
Phone (907) 376-6930
Other providers in Wasilla, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.