ONE SOURCE HOME CARE SERVICES LLC (NPI# 1376175075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376175075 |
| Entity Type | Organization |
| Organization Name | ONE SOURCE HOME CARE SERVICES LLC |
| Practice Address |
9205 James Blvd Apt 102 Juneau AK 99801-9671 |
| Mailing Address |
Po Box 492 Crookston MN 56716-0492 |
| Practice Telephone | 9075003146 |
| Practice Fax Number | 9073086707 |
| Mailing Telephone | 9075003146 |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2020-09-11 |
| Authorized Official Name | MRS. SABRINA SUE CARDINAL (CHIEF OPERATING OFFICER/PARTNER) |
| Authorized Official Telephone | 9075003146 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | UNKNOWN | 05 |
| Street Address |
9205 JAMES BLVD APT 102 |
| City | JUNEAU |
| State | AK |
| Zip Code | 99801-9671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225652407 | Juneau Youth Services, Inc. | Community/Behavioral Health | 1600 Renninger St, Juneau, AK 99801 | 2020-06-03 |
| 1316561590 | Juneau Youth Services, Inc. | Community/Behavioral Health | 2901 Riverside Dr, Juneau, AK 99801 | 2020-06-03 |
| 1366066540 | Juneau Youth Services, Inc. | Community/Behavioral Health | 3400 Tongass Blvd, Juneau, AK 99801 | 2020-06-03 |
| 1134743313 | Juneau Youth Services, Inc. | Community/Behavioral Health | 3800 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-03 |
| 1235753419 | Juneau Youth Services, Inc. | Community/Behavioral Health | 9001 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-03 |
| 1043834245 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10685 Mendenhall Loop Rd, Juneau, AK 99801 | 2020-06-03 |
| 1295359511 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10801 Black Bear Rd, Juneau, AK 99801 | 2020-06-02 |
| 1700400033 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10685 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-02 |
| 1831733351 | Monalisa Vaolete Lauofo | Counselor | 5594 Aisek Street, Juneau, AK 99801 | 2019-10-29 |
| 1245873033 | Ryan Isadore | Counselor | 1613 Anka Street, Juneau, AK 99801 | 2019-10-24 |
| Find all providers in zip 99801 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467095836 | Birchwood Assisted Living Home, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19619 Crabtree St, Chugiak, AK 99567-5922 | 2019-10-17 |
| 1235770298 | Greater Works Caring Center, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3550 Airport Way Ste 203, Fairbanks, AK 99709-4772 | 2019-10-01 |
| 1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
| 1255813655 | O'bies Adobe, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1790 N Centurian Pl Apt 3, Wasilla, AK 99654-5470 | 2018-08-31 |
| 1700312790 | Windy Ridge Assisted Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7781 W Dean Dr, Wasilla, AK 99623-0824 | 2017-05-11 |
| 1255867263 | Montana Creek Assisted Living Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19205 E Future Rd, Talkeetna, AK 99676 | 2017-05-11 |
| 1053852061 | Birchtree Residential Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1220 N Winding Brook Loop, Palmer, AK 99645 | 2017-03-10 |
| 1366990202 | Sanctuary II Alh | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8901 Lakehurst Dr Unit A, Anchorage, AK 99502-5161 | 2016-09-20 |
| 1295282952 | Gary Jones | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6700 Rockridge Dr, Anchorage, AK 99516-1898 | 2016-09-09 |
| 1093120438 | Heart of Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7038 Peck Ave, Anchorage, AK 99504-1158 | 2014-06-24 |
| Find all providers with the same taxonomy | ||||
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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.