POSITIVE PATH LLC (NPI# 1245850403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245850403 |
| Entity Type | Organization |
| Organization Name | POSITIVE PATH LLC |
| Practice Address |
7647 W Tia Terrace Dr Wasilla AK 99623-0332 |
| Practice Telephone | 9078415434 |
| Mailing Telephone | 9078415434 |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2020-04-17 |
| Authorized Official Name | REBA BRADY (OWNER) |
| Authorized Official Telephone | 9078415434 |
| Authorized Official Credential | MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | 1624131 | 05 |
| Street Address |
7647 W TIA TERRACE DR |
| City | WASILLA |
| State | AK |
| Zip Code | 99623-0332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679104723 | Lisa Newell | Home Health Aide | 7945 S. Settlers Bay Dr, Wasilla, AK 99623 | 2020-01-28 |
| 1780238014 | Bradley Duke Ischinger | Physical Therapy Assistant | 6701 Blondell Drive, Wasilla, AK 99623 | 2019-07-25 |
| 1508423625 | Ramon Ortiz | Counselor | 3940 N. El Taino Circle, Wasilla, AK 99623 | 2019-05-23 |
| 1689239782 | Kristine Ione Bayne | Counselor | 2651 N. Thordore Dr, Wasilla, AK 99623 | 2019-05-03 |
| 1801450382 | Desiree Feringa | Case Manager/Care Coordinator | 6640 S Calista Drive, Wasilla, AK 99623 | 2019-04-30 |
| 1861966269 | Tina Renee Hopkins | Assisted Living Facility | 3471 W Wren St, Wasilla, AK 99623 | 2019-01-18 |
| 1801382981 | Jaimie M Church | Social Worker | 6100 W Robin Hood Lane, Wasilla, AK 99623 | 2018-07-02 |
| 1861935975 | Mat-su Valley IIi LLC | Clinic/Center | 5851 South Knik-goose Bay Road, Wasilla, AK 99623 | 2016-11-21 |
| 1972980639 | Jesika Harrell | Physician Assistant | 500 East Benson Blvd, Suite 103, Anchorage, AK 99623 | 2015-05-01 |
| 1497175418 | Mark Hull | Contractor | 1465 N Meadow Lakes Loop, Wasilla, AK 99623 | 2014-04-17 |
| Find all providers in zip 99623 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003426784 | Colleen Maggie Newcity | Case Manager/Care Coordinator | 851 Westpoint Suite 310, Wasilla, AK 99654 | 2020-08-06 |
| 1922625276 | Heather Tenboer | Case Manager/Care Coordinator | 3480 W Birch Meadows Rd, Wasilla, AK 99654-0534 | 2020-07-02 |
| 1093361065 | Chad A Stone | Case Manager/Care Coordinator | 2619 N Chiquita Cielo Dr, Wasilla, AK 99654-3579 | 2019-08-14 |
| 1063071660 | Links Mat-su Parent Resource Center | Case Manager/Care Coordinator | 777 N Crusey St Ste A101, Wasilla, AK 99654-7100 | 2019-06-07 |
| 1801450382 | Desiree Feringa | Case Manager/Care Coordinator | 6640 S Calista Drive, Wasilla, AK 99623 | 2019-04-30 |
| 1649737206 | Donald Cox | Case Manager/Care Coordinator | 777 N Crusey St Ste B101, Wasilla, AK 99654-7101 | 2019-03-01 |
| 1427545615 | Rebecca Racenet | Case Manager/Care Coordinator | 4801 S Timberline Cir, Wasilla, AK 99654-8750 | 2018-04-13 |
| 1952806283 | Shelia M Hansen | Case Manager/Care Coordinator | 500 E Swanson Ave Ste 5, Wasilla, AK 99654-7197 | 2018-03-28 |
| 1396255592 | Juanita C White | Case Manager/Care Coordinator | 4001 E Ruth Dr Unit C, Wasilla, AK 99654-7546 | 2017-10-03 |
| 1548791767 | Emily Bordelon | Case Manager/Care Coordinator | 5050 E Dunbar Dr Ste B, Wasilla, AK 99654-7758 | 2017-03-21 |
| Find all providers in WASILLA | ||||
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| 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.