Morning Star Ranch

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

MORNING STAR RANCH

Practice address

2757 College Rd
Fairbanks, AK 99709-3751

Phone

(907) 455-6772

Fax

(907) 374-4480

NPI assigned

May 28, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Bennie David Colbert Sr. Sr.

Title

President

Phone

(907) 978-9890

Specialties & licenses 7

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406505600000",
    "number": "1881852663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80711",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997080711",
            "telephone_number": "907-455-6772",
            "fax_number": "907-374-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2757 COLLEGE RD",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997093751",
            "telephone_number": "907-455-6772",
            "fax_number": "907-374-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORNING STAR RANCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-28",
        "last_updated": "2014-07-28",
        "status": "A",
        "authorized_official_last_name": "COLBERT SR.",
        "authorized_official_first_name": "BENNIE",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-978-9890",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "AK",
            "license": "CMG764",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "AK",
            "license": "CM7641",
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "AK",
            "license": "HC7641",
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "AK",
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "AK",
            "license": "HC7641",
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "AK",
            "license": "HC7641",
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "AK",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HC7641",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1004993",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Morden
• Travis Moreland
• Beth Morey, R.N.
• Taylor McKinley Morgan
• Mary Josephine Morganreynolds, REGISTERED NURSE
• Delores E Morris, MA
• Hunter Jade Morris
• Melodee F Morris
• Mary Beth Morrison, CNA
• Rene Arlene Morrissey

• Developmentally Disabled Services Day Training Agency in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Developmentally Disabled Services Day Training Agency in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; 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.