Wickersham House LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

100366 Issued in AK

Legal business name

WICKERSHAM HOUSE LLC

Practice address

3950 Wickersham Way
Wasilla, AK 99654-7553

Phone

(907) 357-8342

Fax

(907) 357-8342

NPI assigned

Apr 12, 2007

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Linda Sharon Hendrickson, CNA, CASP

Title

Administrator

Phone

(907) 357-8342

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1891919577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 WICKERSHAM WAY",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547553",
            "telephone_number": "907-357-8342",
            "fax_number": "907-357-8342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 WICKERSHAM WAY",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547553",
            "telephone_number": "907-357-8342",
            "fax_number": "907-357-8342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WICKERSHAM HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "HENDRICKSON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "SHARON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-357-8342",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CNA, CASP"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "100366",
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "AK",
            "license": "100366",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RL5607",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HC 5607",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Whitecotton
• Susan M Whitefeather, MA, PHD
• Madison Whittenberg
• Jessi Whittom
• Stephanie Wiberg
• Jeslyn Wieland
• Anna Wiggins
• Candice Wiggs
• Brian D Wight, DDS
• John J Wilcox, FNP

• Assisted Living Facility in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Assisted Living Facility in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.