SOUTH PENINSULA BEHAVIORAL HEALTH SVCS INC


Address: 3948 Ben Walters Ln, Homer, AK 99603-7708
Phone: 9072357701

SOUTH PENINSULA BEHAVIORAL HEALTH SVCS INC (NPI# 1124244660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124244660
Entity Type Organization
Organization Name SOUTH PENINSULA BEHAVIORAL HEALTH SVCS INC
Practice Address 3948 Ben Walters Ln
Homer
AK 99603-7708
Practice Telephone 9072357701
Practice Fax Number 9072359147
Mailing Telephone 9072357701
Mailing Fax Number 9072359147
Enumeration Date 2007-04-17
Last Update Date 2020-08-22
Authorized Official Name NINA ALLEN (CHIEF EXECUTIVE OFFICER)
Authorized Official Telephone 9072357701
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 385H00000X Respite Care Respite Care Facility

Office Location

Street Address 3948 BEN WALTERS LN
City HOMER
State AK
Zip Code 99603-7708

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285640961 South Peninsula Behavioral Health Services Inc Community/Behavioral Health 3948 Ben Walters Ln, Homer, AK 99603-7708 2006-08-01
1235730029 Margaret Mitchell Case Manager/Care Coordinator 3948 Ben Walters Ln, Homer, AK 99603-7708 2020-11-06
1619578440 Cody Davidson Counselor 3948 Ben Walters Ln, Homer, AK 99603-7708 2020-11-06
1104427913 Holly Bliss Counselor 3948 Ben Walters Ln, Homer, AK 99603-7708 2020-11-06
1578164398 Russell Campbell Counselor 3948 Ben Walters Ln, Homer, AK 99603-7708 2020-11-06
1003417825 Nathan Chorman Counselor 3948 Ben Walters Ln, Homer, AK 99603-7708 2020-11-06
1992306724 Sharron Cotogno Counselor 3948 Ben Walters Ln, Homer, AK 99603-7708 2020-11-06
1144821976 Brian Duffy Counselor 3948 Ben Walters Ln, Homer, AK 99603-7708 2020-11-06
1770184509 Richard Everett Counselor 3948 Ben Walters Ln, Homer, AK 99603-7708 2020-11-06
1528669314 James Fisher Case Manager/Care Coordinator 3948 Ben Walters Ln, Homer, AK 99603-7708 2020-11-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518572387 Morgan Dwyer Counselor 51310 Timber Bay Ct, Homer, AK 99603 2020-09-09
1346859824 John George Hetrick Counselor 51310 Timber Bay Ct., Homer, AK 99603 2020-07-30
1093352502 Katieostrommd Obstetrics & Gynecology 205 W Fairview, Homer, AK 99603 2019-12-03
1023651965 Melissa Elizabeth Malcolm Physical Therapy Assistant 4107 Hohe Ave, Homer, AK 99603 2019-10-23
1184143620 Homer Birth and Wellness Center Clinic/Center 3902 Shelford Street, Homer, AK 99603 2017-09-15
1588913271 Sharon Marie Gorman Registered Nurse 3959 Ben Walters, Homer, AK 99603 2012-09-10
1477802197 Aldergrove Assisted Living Community Based Residential Treatment Facility, Mental Illness 41045 Denny Lane, Homer, AK 99603 2012-09-10
1194087551 Stephen Michael Mueller Pharmacist 3858 Lake Street, Suite #5, Lakeside Mall, Homer, AK 99603 2012-06-12
1962778001 Homer Dental Center Inc Dentist 4014 Lake St., Ste 210, Homer, AK 99603 2012-03-22
1346544368 William R Easton General Practice 2495 Bayridge Rd, Homer, AK 99603 2011-01-05
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Taxonomy Information

Taxonomy Code 385H00000X
Grouping Respite Care Facility
Classification Respite Care

Taxonomy Definition

Definition to come.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952534489 The Ark of Homer Respite Care 1136 Seabreeze Ct, Homer, AK 99603-7935 2009-09-01
1396913307 Fernridge Tlc Respite Care 40811 Mclay Road, Homer, AK 99603 2008-02-12
1619156254 Elder Options of Alaska Respite Care 60788 Bear Creek Dr, Homer, AK 99603-9461 2007-10-31
1528284056 Homer Senior Citizens, Inc. Respite Care 3935 Svedlund St, Homer, AK 99603-7673 2007-04-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1225668718 Turnagain Assisted Living LLC. Respite Care 3406 Seppala Dr Unit B, Anchorage, AK 99517-1143 2020-01-23
1518500297 Lamin St Jammeh Respite Care 7924 Parkway Dr, Anchorage, AK 99504-2840 2019-10-24
1548744469 Independence Lodge, LLC Respite Care 6941 Stanley Dr, Anchorage, AK 99518-2163 2018-09-17
1255769899 A Loving Care PCa Respite Care 343 W Benson Blvd Ste 4, Anchorage, AK 99503-3950 2013-10-17
1619244548 A Kodiak Welcome Bed and Breakfast Respite Care 3570 Sean Circle, Kodiak, AK 99615 2011-11-21
1528358207 Divine Mercy II Alh, LLC Respite Care 417 E 11th Ave Apt 5, Anchorage, AK 99501-4560 2011-04-14
1659601409 Northern Lighthouse Dba Northern Lighthouse Day Center Respite Care 136 E Redoubt Ave, Soldotna, AK 99669-8012 2009-12-29
1467696641 Wasilla Retirement, LLC Respite Care 889 N. Elkhorn Drive, Wasilla, AK 99654 2009-05-01
1780855791 Trinion Quality Care Services, Inc Respite Care 909 Delapp Road, Bethel, AK 99559 2008-03-18
1881865921 Trinion Quality Care Services, Inc Respite Care 1375 E Parks Hwy, Ste D-4, Wasilla, AK 99654-8288 2008-03-17
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Competitor

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City HOMER
Zip Code 99603

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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