Nome Community Center, Inc.

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

60313008 Issued in AK

Legal business name

NOME COMMUNITY CENTER, INC.

Practice address

505 West 3Rd Avenue
Nome, AK 99762

Phone

(907) 443-5259

Fax

(907) 443-2990

NPI assigned

Apr 10, 2007

Organization subpart

No

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

Authorized official

Name

Danielle Slingsby

Title

Executive Director

Phone

(907) 443-5259

Specialties & licenses 4

Addresses

Other identifiers 4

Practitioners 2

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

• Shellene Castleman

  • Case Manager/Care Coordinator
  • Nome, AK
  • NPI 1174746077
  NPD (past)
• David Gray Elmore, MDIV

  • Case Manager/Care Coordinator
  • Nome, AK
  • NPI 1023386596
  NPD (past)

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421020800000",
    "number": "1962625939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 98",
            "city": "NOME",
            "state": "AK",
            "postal_code": "997620098",
            "telephone_number": "907-443-5259",
            "fax_number": "907-443-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 WEST 3RD AVENUE",
            "city": "NOME",
            "state": "AK",
            "postal_code": "99762",
            "telephone_number": "907-443-5259",
            "fax_number": "907-443-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOME COMMUNITY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2015-01-12",
        "status": "A",
        "authorized_official_last_name": "SLINGSBY",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "907-443-5259"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "AK",
            "license": "HC9475",
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "AK",
            "license": "60313008",
            "primary": true
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": "AK",
            "license": "HC9475",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HC9475",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PCG104",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1585002",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CMG4751",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Nayokpuk
• Hannah Newton
• Jennifer Grace NG
• Mandi R Nisenbaum
• Wendy Nitta
• Nome Public Schools
• Cheri Noongwook
• Norton Sound Health Care
• Norton Sound Health Corp
• Norton Sound Health Corp

• Emotionally Disturbed Childrens' Residential Treatment Facility in Nome, AK
• Providers in Nome, AK by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; 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.