Southcentral Foundation

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

20467 Issued in AK

Legal business name

SOUTHCENTRAL FOUNDATION

Doing business as

Home Based Services

Practice address

4160 Tudor Centre Dr
Anchorage, AK 99508-5901

Phone

(907) 729-2490

Fax

(907) 729-2489

NPI assigned

Apr 11, 2007

Last updated

Jan 28, 2016By 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

Ronald Lee Olson

Title

VP Finance

Phone

(907) 729-4939

Specialties & licenses 1

Addresses

Other names 1

• Home Based Services Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Southcentral Foundation

  dba BSD-Anpcc Burt

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Anchorage, AK
  • NPI 1124064894

  Member Of

  NPD member

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453939200000",
    "number": "1962625368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 DIPLOMACY DR",
            "address_2": "ATTN: PROVIDER ENROLLMENT",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085919",
            "telephone_number": "907-729-4955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 TUDOR CENTRE DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085901",
            "telephone_number": "907-729-2490",
            "fax_number": "907-729-2489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHCENTRAL FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2016-01-28",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "907-729-4939"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AK",
            "license": "20467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Based Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southcentral Foundation (Dental- Dental Surgery Center)
• Southcentral Foundation (Dental- ANMC Dental Clinic)
• Southcentral Foundation (BH-Fireweed)
• Southcentral Foundation (Dental- Children's Dental Clinic ( Eaglesoft & Dol)
• Southcentral Foundation (HPG- Katherine & Kevin Gottlieb Building CFDS)
• Southcentral Foundation (Dental- Chugach Square Dental Clinic)
• Southcentral Foundation (Rendezvous)
• Southcentral Foundation (Speech Pathology)
• Southcentral Foundation Dental Dhat
• Southcentral Foundation Medical Center

• Home Health Agency in Anchorage, AK
• Providers in Anchorage, 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 Jan 28, 2016; 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.