Aurora Borealis Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

1038868 Issued in AK

Legal business name

AURORA BOREALIS HOSPICE 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

Last updated

Jun 24, 2016By 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

Yakov Yushuvayev

Title

Member

Phone

(917) 864-3328

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.

• Jacqueline Kotter, BSW

  • Case Manager/Care Coordinator
  • Wasilla, AK
  • NPI 1457705592
  NPD (past)

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

{
    "created_epoch": "1466726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466726400000",
    "number": "1659722288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 E PALMER WASILLA HWY STE 4",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547752",
            "telephone_number": "907-376-6930",
            "fax_number": "907-357-6903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 E PALMER WASILLA HWY STE 4",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547752",
            "telephone_number": "907-376-6930",
            "fax_number": "907-357-6903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA BOREALIS HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-24",
        "last_updated": "2016-06-24",
        "status": "A",
        "authorized_official_last_name": "YUSHUVAYEV",
        "authorized_official_first_name": "YAKOV",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "917-864-3328"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "AK",
            "license": "1038868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aumavae Cares LLC
• Diana Ivonne Aumavae
• Helen Aumavae
• Aurora Assisted Living LLC
• Aurora Borealis Home Health LLC
• Aurora Dental Care
• Aurora Dental Center, Inc. (Aurora Dental Care)
• Aurora Dental Clinic, LLC (Aurora Dental Care)
• Aurora Womens Healthcare, LLC
• Olena Avelar

• Community Based Hospice Care Agency in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Community Based Hospice Care Agency in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; 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.