PCR ALASKA LLC


Address: 1413 W 31st Ave, Anchorage, AK 99503-3624
Phone: 9072681242

PCR ALASKA LLC (NPI# 1386199339) 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) 1386199339
Entity Type Organization
Organization Name PCR ALASKA LLC
Practice Address 1413 W 31st Ave
Anchorage
AK 99503-3624
Mailing Address Po Box 241224
Anchorage
AK 99524-1224
Practice Telephone 9072681242
Enumeration Date 2016-08-19
Last Update Date 2020-09-09
Authorized Official Name PHILLIP D TAFS (OWNER)
Authorized Official Telephone 9072681242
Authorized Official Credential MSW, BCBA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health 1039082 AK Agencies

Office Location

Street Address 1413 W 31ST AVE
City ANCHORAGE
State AK
Zip Code 99503-3624

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730694126 Shelby Renee Shelton Behavioral Analyst 1413 W 31st Ave, Anchorage, AK 99503-3624 2017-12-06

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NPI Name Taxonomy Address Enumeration
1164020772 Miladis Mcduffie Massage Therapist 1350 W. Northern Lights Blvd, Ste C, Anchorage, AK 99503 2020-10-15
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1982268942 Rukiyia Smith Behavior Technician 205 E Northern Lights Blvd, Suite 110, Anchorage, AK 99503 2019-04-25
1245894310 Mary Kathleen Tate Specialist/Technologist 205 E. Northern Lights Blvd, Suite 110, Anchorage, AK 99503 2019-04-24
1194295766 Kimberly Sue Trent Registered Nurse 670 W. Fireweed Lane Suite 160, Anchorage, AK 99503 2018-11-27
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1235643123 Rosanne Louise Klouda Massage Therapist 213 Fireweed Ln, Anchorage, AK 99503 2017-11-30
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700483781 Anchorage Community Mental Health Services, Inc Community/Behavioral Health 704 W 26th Ave, Anchorage, AK 99503-2532 2020-10-03
1184259855 Alaska Youth and Family Network Community/Behavioral Health 740 Communications Ave, Anchorage, AK 99503-6000 2020-03-03
1033755798 The Salvation Army, A California Corporation Community/Behavioral Health 1700 A Street, Anchorage, AK 99501 2019-11-18
1366087108 The Salvation Army, A California Corporation Community/Behavioral Health 3600 East 20th Avenue, Anchorage, AK 99508 2019-11-15
1639722069 Southcentral Foundation Community/Behavioral Health 4175 Tudor Centre Dr, Anchorage, AK 99508-5917 2019-07-24
1659924025 Southcentral Foundation Community/Behavioral Health 4341 Tudor Centre Dr Ste 300, Anchorage, AK 99508-5904 2019-07-24
1558878231 Pinnacle Community Health, LLC Community/Behavioral Health 8080 Opal Cir, Anchorage, AK 99502-4542 2018-01-04
1497272470 David Root Community/Behavioral Health 207 E Northern Lights Blvd Ste 212, Anchorage, AK 99503-2731 2017-08-29
1306393012 Deon Burns Community/Behavioral Health 12725 Landmark St Apt B, Anchorage, AK 99515-3818 2016-09-10
1780035683 A Listening Ear LLC Community/Behavioral Health 8652 Swiss Pl, Anchorage, AK 99507-3655 2016-06-22
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Competitor

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City ANCHORAGE
Zip Code 99503

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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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