Nikiski Senior Citizens, Inc.
Organization Active NPI Respite Care · Nikiski, AK
NPI 1992929111 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1992929111
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Respite Care 385H00000X
- Legal business name
- NIKISKI SENIOR CITIZENS, INC.
- Practice address
- 50810 Island Lake Road
Nikiski, AK 99635 - Phone
- (907) 776-7654
- NPI assigned
- Apr 11, 2007
- Organization subpart
- No
Authorized official
- Name
- Leigh Hagstrom-Sanger
- Title
- Executive Director
- Phone
- (907) 776-7654
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- Nikiski Senior Citizens Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Respite Care | 385H00000X | Yes |
Addresses
Primary practice location
50810 Island Lake Road
Nikiski, AK 99635
Mailing address
PO Box 6973
Nikiski, AK 99635-6973
Phone (907) 776-7654
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HC4377 | Medicaid | AK |
Other providers in Nikiski, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.