Mat-Su Activity and Respite Center

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

MAT-SU ACTIVITY AND RESPITE CENTER

Practice address

951 E Bogard Rd
Wasilla, AK 99654-7113

Phone

(907) 357-8622

Fax

(907) 357-8624

NPI assigned

Mar 6, 2007

Last updated

Feb 18, 2008By 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

Laura SasseenNPI 1225168396

Title

Executive Director

Phone

(907) 357-8622

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Tax ID family

Mat-Su Activity and Respite Ce2 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.

• Mat-Su Activity and Respite Center

  • Case Management Agency
  • Wasilla, AK
  • NPI 1124158019
  NPD tax ID

Locations

Practitioners 2

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.

• Laura Sasseen

  • Case Manager/Care Coordinator
  • Wasilla, AK
  • NPI 1225168396
  NPD (past) Authorized official
• Nicole Skube

  • Case Manager/Care Coordinator
  • Wasilla, AK
  • NPI 1912163759
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203292800000",
    "number": "1679603740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 E BOGARD RD",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547113",
            "telephone_number": "907-357-8622",
            "fax_number": "907-357-8624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 E BOGARD RD",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547113",
            "telephone_number": "907-357-8622",
            "fax_number": "907-357-8624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAT-SU ACTIVITY AND RESPITE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2008-02-18",
        "status": "A",
        "authorized_official_last_name": "SASSEEN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "907-357-8622"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mat Su Valley Medical Center LLC
• Mat Su Youth Housing (MY House)
• Mat Su Youth Housing (My House)
• Mat Su Youth Housing-My House (MY House)
• Mat-Su Activity and Respite Center
• Mat-Su Birth Center, LLC
• Mat-Su Chiropractic LLC (Mat-Su Chiropractic)
• Mat-Su Community Pediatrics, P.C.
• Mat-Su Dental Center, Inc.
• Mat-Su Integrative Medicine

• Developmentally Disabled Services Day Training Agency in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Developmentally Disabled Services Day Training Agency in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.