NPIMap

Organization Active NPI

Yukon-Kuskokwim Health Corporation

Doing business as Yukon Kuskokwim Elder's Home

  • Skilled Nursing Facility
  • Bethel, AK
National Provider Identifier
1821438342
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
YUKON-KUSKOKWIM HEALTH CORPORATION
Doing business as
Yukon Kuskokwim Elder's Home
Practice address
1100 Chief Eddie Hoffman Hwy
Bethel, AK 99559
Phone
(907) 543-6781
NPI assigned
Jun 28, 2013
Last updated
Sep 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Authorized official

Name
Daniel Winkelman
Title
President & Ceo
Phone
(907) 543-6032

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

1100 Chief Eddie Hoffman Hwy
Bethel, AK 99559

Mailing address

PO Box 528
Bethel, AK 99559-0528
Phone (907) 543-6781

Other names 1

  • Yukon Kuskokwim Elder's Home Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130925000446 AK Part A Provider - Skilled Nursing Facility 5193718765 Practice locations: Bethel, AK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821438342. Details of each certification follow.

Skilled nursing facility certification: CCN 025037

Legal name
YUKON-KUSKOKWIM HEALTH CORPORATION
Doing business as
YUKON KUSKOKWIM ELDER'S HOME
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 10, 2014
Last certification
Jan 31, 2025
Beds
18
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Oct 6, 1969 in AK
Enrollment address
1100 Chief Eddie Hoffman Hwy
Bethel, AK 99559-0001
Nursing home name
YUKON KUSKOKWIM ELDER'S HOME

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Yukon Kuskokwim Elder's HomeCCN 025037 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Apr 10, 2014
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
1817.3 residents per day on average
Penalties (3 years)
1Fines totaling $10,117

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Yukon-Kuskokwim Health Corporation32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

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

View all 31

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 23

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Mary Ayunerak Individual Corporate Director Nov 30, 2010
Gloria Simeon Individual Corporate Director Jan 1, 2017
Patricia Yaska Individual Corporate Director Jan 1, 2017
Phillip Peter Individual Corporate Director Jan 1, 2017
James Sipary Individual Corporate Director Nov 30, 2010
James Nicori Individual Corporate Director Jan 1, 2017
Anna Angaiak Individual Corporate Director Jan 1, 2017
Darren Cleveland Individual Corporate Director Jan 1, 2019
Patrick Tall Individual Corporate Director Nov 30, 2010
Chris Larson Individual Corporate Director Jan 1, 2017
Walter Jim Individual Corporate Director Jan 1, 2017
Yukon-Kuskokwim Health Corporation Organization, Bethel, AK Non-profit Operational/Managerial Control Oct 1, 2013 100%
Adolph Lewis Individual Corporate Director Jan 1, 2017
Geraldine Beans Individual Corporate Director Jan 1, 2017
Marvin Deacon Individual Corporate Director Nov 30, 2010
James Charlie Individual Corporate Director Nov 30, 2010
Abraham David Individual Corporate Director Jan 1, 2017
Wassilie Pitka Individual Corporate Director Jan 1, 2017
John Uttereyuk Individual Corporate Director Jan 1, 2017
Jessica Hollandsworth Individual W-2 Managing Employee Sep 7, 2017
Stanley L Hoffman Individual Corporate Director Nov 15, 2011
Daniel Winkleman Individual Corporate Director Nov 2, 2007
W-2 Managing Employee Nov 2, 2007
Bonnie Aloysius Individual Corporate Director Jan 1, 2017

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663200000000",
    "number": "1821438342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 528",
            "city": "BETHEL",
            "state": "AK",
            "postal_code": "995590528",
            "telephone_number": "907-543-6781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 CHIEF EDDIE HOFFMAN HWY",
            "city": "BETHEL",
            "state": "AK",
            "postal_code": "99559",
            "telephone_number": "907-543-6781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YUKON-KUSKOKWIM HEALTH CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-28",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A",
        "authorized_official_last_name": "WINKELMAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "907-543-6032"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yukon Kuskokwim Elder's Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bethel, AK

Sources for this page

Verify at the official NPI Registry.