NPIMap

Organization Active NPI

Nikiski Senior Citizens, Inc.

  • Case Management Agency
  • Nikiski, AK
National Provider Identifier
1982812848
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
NIKISKI SENIOR CITIZENS, INC.
Practice address
50810 Island Lake Road
Nikiski, AK 99635-6973
Phone
(907) 776-7654
NPI assigned
May 21, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Leigh Hagstrom-SangerNPI 1598954349
Title
Executive Director
Phone
(907) 776-7654

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

50810 Island Lake Road
Nikiski, AK 99635-6973

Mailing address

PO Box 6973
Nikiski, AK 99635-6973
Phone (907) 776-7654

Other identifiers 1

IdentifierTypeStateIssuer
CMG943MedicaidAK

National Provider Directory

National Provider Directory
Tax ID family
Nikiski Senior Citizens Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982812848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6973",
            "city": "NIKISKI",
            "state": "AK",
            "postal_code": "996356973",
            "telephone_number": "907-776-7654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50810 ISLAND LAKE ROAD",
            "city": "NIKISKI",
            "state": "AK",
            "postal_code": "996356973",
            "telephone_number": "907-776-7654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIKISKI SENIOR CITIZENS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAGSTROM-SANGER",
        "authorized_official_first_name": "LEIGH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "907-776-7654"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CMG943",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nikiski, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.