NPIMap

Organization Active NPI

Kenai Peninsula Home Health LLC

  • Home Health Agency
  • Soldotna, AK
National Provider Identifier
1821632258
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
KENAI PENINSULA HOME HEALTH LLC
Practice address
44332 Sterling Hwy Ste 42
Soldotna, AK 99669-8065
Phone
(907) 260-4444
NPI assigned
Oct 29, 2019
Last updated
May 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Authorized official

Name
Vanessa Shanahan, RNNPI 1912514316
Title
President
Phone
(907) 260-4444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

44332 Sterling Hwy Ste 42
Soldotna, AK 99669-8065

Mailing address

PO Box 530
Soldotna, AK 99669-0530
Phone (970) 227-8811

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200113000388 AK Part A Provider - Home Health Agency 5799110169 Practice locations: Soldotna, AK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821632258. Details of each certification follow.

Home health agency certification: CCN 027038

Legal name
KENAI PENINSULA HOME HEALTH LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 24, 2020
Last certification
Jun 24, 2020
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
44096 Sterling Hwy
Ste E
Soldotna, AK 99669-8063
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Kenai Peninsula Home Health, LLCCCN 027038 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Jun 24, 2020
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Physical therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
02D2175833Kenai Peninsula Home Health LLC44096 Sterling Hwy, Suite E, Soldotna, AK 99669Certificate of waiverDec 2, 2027

National Provider Directory

National Provider Directory

Locations

44332 Sterling Hwy
Soldotna, AK 99669

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Vanessa L Shanahan Individual 5% Or Greater Direct Ownership Interest Oct 16, 2019 100%
W-2 Managing EmployeePresident Oct 16, 2019
Operational/Managerial ControlPresident Oct 16, 2019

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.

Affiliated clinicians 37

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683158400000",
    "number": "1821632258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 530",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996690530",
            "telephone_number": "970-227-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44332 STERLING HWY STE 42",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996698065",
            "telephone_number": "907-260-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENAI PENINSULA HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-29",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A",
        "authorized_official_last_name": "SHANAHAN",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-260-4444",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Soldotna, AK

Sources for this page

Verify at the official NPI Registry.