Procare Pca, Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

925870 Issued in AK

Legal business name

PROCARE PCA, INC.

Practice address

5050 E Dunbar Dr
Ste C2
Wasilla, AK 99654-7758

Phone

(907) 357-7825

Fax

(907) 357-7883

NPI assigned

Apr 13, 2009

Organization subpart

No

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

Authorized official

Name

Carol Rebecca Sycks, RN

Title

President

Phone

(907) 297-2778

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239580800000",
    "number": "1952544512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 143221",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995143221",
            "telephone_number": "907-357-7825",
            "fax_number": "907-357-7883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 E DUNBAR DR",
            "address_2": "STE C2",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547758",
            "telephone_number": "907-357-7825",
            "fax_number": "907-357-7883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE PCA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-13",
        "last_updated": "2009-04-13",
        "status": "A",
        "authorized_official_last_name": "SYCKS",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "REBECCA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-297-2778",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "AK",
            "license": "925870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric & Counseling Services
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• In Home Supportive Care Agency in Wasilla, AK
• Providers in Wasilla, AK by specialty
• In Home Supportive Care Agency in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2009; 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.