Packa Home Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PACKA HOME CARE, LLC

Practice address

2701 E Beech Way
Wasilla, AK 99654-7412

Phone

(907) 414-0203

NPI assigned

Apr 2, 2021

Organization subpart

No

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

Authorized official

Name

Marshal Ann Packa, RNNPI 1003434945

Title

Owner

Phone

(907) 414-0203

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marshal Ann Packa, RN

  • Home Health Registered Nurse
  • Wasilla, AK
  • NPI 1003434945
  NPD Authorized official

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

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617321600000",
    "number": "1962081497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 E BEECH WAY",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547412",
            "telephone_number": "907-414-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 E BEECH WAY",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547412",
            "telephone_number": "907-414-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACKA HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-02",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A",
        "authorized_official_last_name": "PACKA",
        "authorized_official_first_name": "MARSHAL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-414-0203",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Dawn Overstreet
• Mattie 'Randi' Mae Owens, MSED, CADC-I, LPC
• Susan Owens
• Taliah Owens
• Kristen Pack, LMT
• Marshal Ann Packa, RN
• Louis M Packer, M.D.
• Deborah Ann Padilla, RPH
• Audie Padrones, PT, MHS
• Kentreyia Paduyos

• Home Health Agency in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Home Health Agency in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; 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.