Active NPI
Catholic Community Service
Doing business as Haines Senior Center
- Meals Provider
- Haines, AK
National Provider Identifier
1720106628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Meals Provider
- Legal business name
- CATHOLIC COMMUNITY SERVICE
- Doing business as
- Haines Senior Center
- Practice address
- 33 Mission Street
Haines, AK 99827-0801 - Phone
- (987) 463-6149
- NPI assigned
- Mar 27, 2007
- Last updated
- Mar 30, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Carson
- Title
- HHCJ Administrator
- Phone
- (907) 463-6162
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | NU | ||
| Meals Provider | 174200000X | NU | Primary |
Addresses
Primary practice location
33 Mission Street
Haines, AK 99827-0801
Mailing address
1803 Glacier Hwy
Juneau, AK 99801-7804
Phone (907) 463-6100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1004618 | Medicaid | AK | |
| HC2656 | Medicaid | AK |
Other names 1
- HAINES SENIOR CENTER
National Provider Directory
National Provider Directory- Tax ID family
- Catholic Community Service
Other organizations with this tax ID 14
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Bridge Adult Day Care
- Adult Day Care Clinic/Center
- Juneau, AK
- NPI 1134247042
-
dba Ketchikan Care Coordination
- Case Management Agency
- Ketchikan, AK
- NPI 1518085422
-
dba Juneau Care Coordination
- Case Management Agency
- Juneau, AK
- NPI 1609994516
Locations
419 6th St
Juneau, AK 99801
Phone (907) 463-6147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1617062400000",
"number": "1720106628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1803 GLACIER HWY",
"city": "JUNEAU",
"state": "AK",
"postal_code": "998017804",
"telephone_number": "907-463-6100",
"fax_number": "907-586-9018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 MISSION STREET",
"city": "HAINES",
"state": "AK",
"postal_code": "998270801",
"telephone_number": "987-463-6149"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CATHOLIC COMMUNITY SERVICE",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-27",
"last_updated": "2021-03-30",
"certification_date": "2021-03-30",
"status": "A",
"authorized_official_last_name": "CARSON",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "HHCJ ADMINISTRATOR",
"authorized_official_telephone_number": "907-463-6162"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1004618",
"state": "AK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HC2656",
"state": "AK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "HAINES SENIOR CENTER",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "HAINES SENIOR CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Haines, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.