Active NPI
Alaska Consumer Direct Personal Care, LLC
- Personal Care Attendant
- Anchorage, AK
National Provider Identifier
1942345178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Legal business name
- ALASKA CONSUMER DIRECT PERSONAL CARE, LLC
- Practice address
- 615 E 82ND Ave
Ste 101
Anchorage, AK 99518-3153 - Phone
- (907) 222-2652
- NPI assigned
- Feb 21, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ben Bledsoe
- Title
- President/Ceo
- Phone
- (406) 532-2001
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | AK | ||
| Case Management Agency | 251B00000X | |||
| Public Health or Welfare Agency | 251K00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Personal Care Attendant | 3747P1801X | Primary | ||
| Respite Care | 385H00000X |
Addresses
Primary practice location
615 E 82ND Ave
Ste 101
Anchorage, AK 99518-3153
Mailing address
100 Consumer Direct Way
Missoula, MT 59808-5037
Phone (406) 541-1900
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CM6102 | Medicaid | AK | |
| PCG3172 | Medicaid | AK | |
| CM6101 | Medicaid | AK | |
| CM54531 | Medicaid | AK | |
| PCG3173 | Medicaid | AK | |
| PCG3171 | Medicaid | AK | |
| CMG317 | Medicaid | AK | |
| HC0317 | Medicaid | AK | |
| PCG317 | Medicaid | AK |
Other names 2
- Consumer Direct Care Network Alaska
- Consumer Direct Personal Care
National Provider Directory
National Provider DirectoryLocations
405 E Fireweed Ln
Ste 100
Anchorage, AK 99503
615 E 82nd Ave
Ste 101
Anchorage, AK 99518
Phone (907) 222-2652
126 W Pioneer Ave
Ste 5
Homer, AK 99603
412 Frontage Rd
Ste 48
Kenai, AK 99611
131 E Swanson Ave
#1
Wasilla, AK 99654
Phone (907) 357-7962
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Case Manager/Care Coordinator
- Anchorage, AK
- NPI 1316137391
-
- Case Manager/Care Coordinator
- Anchorage, AK
- NPI 1073922795
-
- Case Manager/Care Coordinator
- Wasilla, AK
- NPI 1326457672
-
- Case Manager/Care Coordinator
- Anchorage, AK
- NPI 1659782894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1541548800000",
"number": "1942345178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 CONSUMER DIRECT WAY",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598085037",
"telephone_number": "406-541-1900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 E 82ND AVE",
"address_2": "STE 101",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995183153",
"telephone_number": "907-222-2652"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALASKA CONSUMER DIRECT PERSONAL CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-21",
"last_updated": "2018-11-07",
"status": "A",
"authorized_official_last_name": "BLEDSOE",
"authorized_official_first_name": "BEN",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "406-532-2001"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": "AK",
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": true
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CM6102",
"state": "AK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PCG3172",
"state": "AK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CM6101",
"state": "AK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CM54531",
"state": "AK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PCG3173",
"state": "AK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PCG3171",
"state": "AK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CMG317",
"state": "AK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HC0317",
"state": "AK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PCG317",
"state": "AK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Consumer Direct Care Network Alaska",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Consumer Direct Personal Care",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.