NPIMap

Organization Active NPI

Volunteers of America Alaska, Assist 1115

  • Community/Behavioral Health Agency
  • Anchorage, AK
National Provider Identifier
1699311894
Registry record updated Nov 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
VOLUNTEERS OF AMERICA ALASKA, ASSIST 1115
Practice address
2600 Cordova St Ste 101
Anchorage, AK 99503-2745
Phone
(907) 279-9627
Fax
(844) 333-1920
NPI assigned
Nov 22, 2019
Last updated
Nov 22, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
VOLUNTEERS OF AMERICA ALASKAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 22, 2019

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

Authorized official

Name
Jennifer Mora
Title
Director of Qa and RCM
Phone
(907) 279-9627

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

2600 Cordova St Ste 101
Anchorage, AK 99503-2745

Mailing address

2600 Cordova St Ste 101
Anchorage, AK 99503-2745
Phone (907) 279-9627

Other identifiers 1

IdentifierTypeStateIssuer
1698481MedicaidAK

National Provider Directory

National Provider Directory
Tax ID family
Volunteers of America Alaska Spring Hill Es25 organizations share this tax ID, including this one
Part of
Volunteers of America Alaska Spring Hill Es

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1574380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574380800000",
    "number": "1699311894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 CORDOVA ST STE 101",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995032745",
            "telephone_number": "907-279-9627",
            "fax_number": "844-333-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 CORDOVA ST STE 101",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995032745",
            "telephone_number": "907-279-9627",
            "fax_number": "844-333-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOLUNTEERS OF AMERICA ALASKA, ASSIST 1115",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VOLUNTEERS OF AMERICA ALASKA",
        "enumeration_date": "2019-11-22",
        "last_updated": "2019-11-22",
        "status": "A",
        "authorized_official_last_name": "MORA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "DIRECTOR OF QA AND RCM",
        "authorized_official_telephone_number": "907-279-9627"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1698481",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; 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.