ALASKA ADDICTION REHABILITATION SERVICES INC. DBA NUGEN'S RANCH (NPI# 1417503764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417503764 |
| Entity Type | Organization |
| Organization Name | ALASKA ADDICTION REHABILITATION SERVICES INC. DBA NUGEN'S RANCH |
| Practice Address |
26731 W Point Mackenzie Rd Wasilla AK 99623-8709 |
| Mailing Address |
Po Box 871545 Wasilla AK 99687-1545 |
| Practice Telephone | 9073764534 |
| Practice Fax Number | 9073762348 |
| Mailing Telephone | 9073764534 |
| Mailing Fax Number | 9073762348 |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2019-08-13 |
| Authorized Official Name | MR. ROBERT BODNAR (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9073764534 |
| Authorized Official Credential | MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Alaska Addiction Rehabilitation Services Inc. DBA Nugen's Ranch | Doing Business As Name - Organization |
| Street Address |
26731 W POINT MACKENZIE RD |
| City | WASILLA |
| State | AK |
| Zip Code | 99623-8709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225691025 | Rebecca Browning | Counselor | 26731 W Point Mackenzie Rd, Wasilla, AK 99623-8709 | 2019-04-17 |
| 1447867932 | Heidi Marie Meyer | Counselor | 26731 W Point Mackenzie Rd, Wasilla, AK 99623-8709 | 2020-09-28 |
| 1356997282 | Eric Tomasino | Counselor | 26731 W Point Mackenzie Rd, Wasilla, AK 99623-8709 | 2019-08-15 |
| 1659927713 | Bridget Akerley | Counselor | 26731 W Point Mackenzie Rd, Wasilla, AK 99623-8709 | 2019-08-14 |
| 1003461617 | Robert Allen Bodnar | Substance Abuse Rehabilitation Facility | 26731 W Point Mackenzie Rd, Wasilla, AK 99623-8709 | 2019-08-09 |
| 1831752328 | Cheryl Damon | Licensed Practical Nurse | 26731 W Point Mackenzie Rd, Wasilla, AK 99623-8709 | 2019-04-19 |
| 1306409297 | Cathy Lynne Bishop | Counselor | 26731 W Point Mackenzie Rd, Wasilla, AK 99623-8709 | 2019-04-17 |
| 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 | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730582446 | Starting Point | Substance Abuse Rehabilitation Facility | 230 E Paulson Ave, 76, Wasilla, AK 99654-7001 | 2014-10-08 |
| 1053922146 | True North Recovery Inc | Substance Abuse Rehabilitation Facility | 1419 S Kittiwake St, Wasilla, AK 99623-9302 | 2020-08-12 |
| 1942829460 | True North Recovery Inc. | Substance Abuse Rehabilitation Facility | 591 S Knik Goose Bay Rd, Wasilla, AK 99654-8062 | 2020-04-14 |
| 1346886660 | Set Free Alaska, Inc. | Substance Abuse Rehabilitation Facility | 7010 E Bogard Rd Bldg 2, Wasilla, AK 99654-4711 | 2019-11-21 |
| 1003461617 | Robert Allen Bodnar | Substance Abuse Rehabilitation Facility | 26731 W Point Mackenzie Rd, Wasilla, AK 99623-8709 | 2019-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780220012 | Set Free Alaska, Inc. | Substance Abuse Rehabilitation Facility | 51310 Timber Bay Court, Homer, AK 99603-9968 | 2019-11-21 |
| 1811532575 | Set Free Alaska, Inc. | Substance Abuse Rehabilitation Facility | 1130 Ocean Dr Ste A, Homer, AK 99603-7919 | 2019-11-16 |
| 1992281034 | Akeela Inc | Substance Abuse Rehabilitation Facility | 2804 Bering St, Anchorage, AK 99503-3820 | 2018-07-12 |
| 1508393869 | Ground Zero Wellness Center | Substance Abuse Rehabilitation Facility | 4670 Killen Ln, Fairbanks, AK 99709-3325 | 2017-05-17 |
| 1306394960 | Akeela Inc | Substance Abuse Rehabilitation Facility | 561 S Denali St Ste F, Palmer, AK 99645-6464 | 2016-09-13 |
| 1003005828 | Maniilaq Association | Substance Abuse Rehabilitation Facility | 722 Second Ave, Kotzebue, AK 99752-0256 | 2007-10-17 |
| 1518158245 | Norton Sound Regional Hospital | Substance Abuse Rehabilitation Facility | 3rd Ave, Unalakleet, AK 99684 | 2007-08-07 |
| 1184814667 | Norton Sound Health Corp | Substance Abuse Rehabilitation Facility | 305 5th & Bering Street, Nome, AK 99762 | 2007-07-31 |
| 1205036548 | Norton Sound Health Corporation | Substance Abuse Rehabilitation Facility | 306 5th Ave. W, Nome, AK 99762 | 2007-07-24 |
| 1124147905 | The Salvation Army Clitheroe Center - Dual Diagnosis | Substance Abuse Rehabilitation Facility | 8000 W End Rd, Anchorage, AK 99519 | 2007-03-29 |
| 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.