Shangri'la Ranch

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

SHANGRI'LA RANCH

Practice address

782 Adventure Rd
Fairbanks, AK 99712-3330

Phone

(907) 687-7775

NPI assigned

Apr 20, 2012

Organization subpart

No

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

Authorized official

Name

Karma Sparks Brown

Title

Owner/Operator

Phone

(907) 687-7775

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334880000000",
    "number": "1700143211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 56776",
            "city": "NORTH POLE",
            "state": "AK",
            "postal_code": "997051776",
            "telephone_number": "907-687-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "782 ADVENTURE RD",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997123330",
            "telephone_number": "907-687-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANGRI'LA RANCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-20",
        "last_updated": "2012-04-20",
        "status": "A",
        "authorized_official_last_name": "SPARKS BROWN",
        "authorized_official_first_name": "KARMA",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "907-687-7775"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "AK",
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "AK",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ernest R Sevilla
• Elizabeth Sewell, LPCS
• Michael F Sexton
• Elise Michelle Shahan, FNP-C
• Kendra Kay Shaner, OTR/L, CHT
• Chance Shank
• Cicely Shankle
• Kelly Shanklin
• Theresa Joanne Shanley, M.D.
• Vanessa Shannon

• Developmentally Disabled Services Day Training Agency in Fairbanks, AK
• Providers in Fairbanks, 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 Apr 20, 2012; 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.