Denali Care Services, LLC.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

DENALI CARE SERVICES, LLC.

Practice address

31620 23Rd Ave S # 302
Federal Way, WA 98003-5064

Phone

(206) 592-2756

Fax

(206) 238-9450

NPI assigned

May 3, 2022

Organization subpart

No

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

Authorized official

Name

Eni Ierusalema MavaegaNPI 1750704516

Title

Co-Owner

Phone

(907) 297-8942

Specialties & licenses 4

Addresses

Electronic endpoints 1

Tax ID family

Denali Care Services LLC2 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.

• Denali Care Services, LLC.

  • Home Health Agency
  • Anchorage, AK
  • NPI 1679491419
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eni Ierusalema Mavaega

  • Case Manager/Care Coordinator
  • Anchorage, AK
  • NPI 1750704516
  NPD Authorized official
• Amanpreet Bains

  • Behavior Analyst
  • Federal Way, WA
  • NPI 1407556525
  NPD (past)
• Annabeth Lynn Pickell

  • Behavior Technician
  • Federal Way, WA
  • NPI 1609575372
  NPD (past)

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

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651536000000",
    "number": "1629713623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31620 23RD AVE S # 302",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035064",
            "telephone_number": "206-592-2756",
            "fax_number": "206-238-9450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31620 23RD AVE S # 302",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035064",
            "telephone_number": "206-592-2756",
            "fax_number": "206-238-9450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33309 1st Way S Ste 100",
            "address_purpose": "LOCATION",
            "city": "Federal Way",
            "state": "WA",
            "postal_code": "980036260",
            "country_code": "US",
            "telephone_number": "206-592-2756",
            "fax_number": "206-238-9450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DENALI CARE SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-03",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A",
        "authorized_official_last_name": "MAVAEGA",
        "authorized_official_first_name": "ENI",
        "authorized_official_middle_name": "IERUSALEMA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "907-297-8942"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "support@3xbholdings.com",
            "affiliation": "N",
            "endpointDescription": "Support",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "33309 1st Way S Ste 100",
            "city": "Federal Way",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980036260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Catherine Delostrinos, M.D.
• Donald R Dematteis, DDS, MS
• Erica Demeerleer, RN
• Yemisirach Demissie
• Denali Care Services
• Jennay Deng
• Melissa Roach Denison, ARNP
• Dennis J. Hahn DDS. PS
• Edmond Dennis IV, MSP
• Jill Ann Denny, M.D.

• Behavior Analyst in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.