NPIMap

Organization Active NPI

Wasilla Area Seniors Inc.

  • PACE Provider Organization
  • Wasilla, AK
National Provider Identifier
1821236258
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
License
171M00000X Issued in AK
Legal business name
WASILLA AREA SENIORS INC.
Practice address
1301 S Century Circle
Wasilla, AK 99654
Phone
(907) 206-8800
Fax
(907) 802-4788
NPI assigned
Jan 22, 2009
Last updated
May 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Authorized official

Name
Marlene Munsell
Title
Chief Executive Officer
Phone
(907) 206-8795

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PACE Provider Organization 251T00000X 171M00000X AK Primary

Addresses

Primary practice location

1301 S Century Circle
Wasilla, AK 99654

Mailing address

1301 S Century Circle
Wasilla, AK 99654
Phone (907) 206-8800

National Provider Directory

National Provider Directory
Tax ID family
Wasilla Area Seniors Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1301 S Century Cir
Wasilla, AK 99654
Phone (907) 206-8800

NPI Registry JSON

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

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683849600000",
    "number": "1821236258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 S CENTURY CIRCLE",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "99654",
            "telephone_number": "907-206-8800",
            "fax_number": "907-802-4788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 S CENTURY CIRCLE",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "99654",
            "telephone_number": "907-206-8800",
            "fax_number": "907-802-4788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASILLA AREA SENIORS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-22",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A",
        "authorized_official_last_name": "MUNSELL",
        "authorized_official_first_name": "MARLENE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "907-206-8795"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "AK",
            "license": "171M00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; 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.