Akeem Jaiwan Henderson

Individual provider Active NPI Case Manager/Care Coordinator · Anchorage, AK

NPI 1760212930 · NPPES record last updated Aug 3, 2024

Key facts

NPI
1760212930
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
1231 Gambell St Ste 300
Anchorage, AK 99501-4664
Phone
(907) 333-4343
Fax
(907) 333-4383
NPI assigned
Aug 3, 2024
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Choices, Inc Past
since Aug 4, 2024
Accepting new patients
Choices, Inc. Past
since Aug 4, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

1231 Gambell St Ste 300
Anchorage, AK 99501-4664

Mailing address

1231 Gambell St Ste 300
Anchorage, AK 99501-4664
Phone (907) 333-4343

Other providers in Anchorage, AK

All providers in Anchorage, AK · Case Manager/Care Coordinator in Alaska

Sources for this page

Verify at the official NPI Registry.