MARY CONRAD CENTER (NPI# 1538166863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538166863 |
Entity Type | Organization |
Organization Name | MARY CONRAD CENTER |
Practice Address |
9100 Centennial Cir Anchorage AK 99504-1480 |
Practice Telephone | 9073338100 |
Practice Fax Number | 9073386789 |
Mailing Telephone | 9073338100 |
Mailing Fax Number | 9073386789 |
Enumeration Date | 2005-07-01 |
Last Update Date | 2020-08-22 |
Authorized Official Name | JODY HOWORTH (DIRECTORY) |
Authorized Official Telephone | 9072693201 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3140N1450X |
Skilled Nursing Facility Specialization: Nursing Care, Pediatric |
AK | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AK | LT0713 | 05 |
Street Address |
9100 CENTENNIAL CIR |
City | ANCHORAGE |
State | AK |
Zip Code | 99504-1480 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952910119 | Kerri E Metz | Dietitian, Registered | 9100 Centennial Cir, Anchorage, AK 99504-1480 | 2020-07-23 |
1528698818 | Alaena Bateman | Occupational Therapist | 9100 Centennial Cir, Anchorage, AK 99504-1480 | 2020-01-25 |
1033674486 | Alexa Hanley | Occupational Therapist | 9100 Centennial Cir, Anchorage, AK 99504-1480 | 2019-02-08 |
1205343134 | Katey Marie Nelson | Physical Therapy Assistant | 9100 Centennial Cir, Anchorage, AK 99504-1480 | 2017-12-30 |
1477063568 | Melinda Sue Noble | Nurse Practitioner | 9100 Centennial Cir, Anchorage, AK 99504-1480 | 2017-10-03 |
1154856490 | Veronika Golyan | Physical Therapy Assistant | 9100 Centennial Cir, Anchorage, AK 99504-1480 | 2017-04-24 |
1609313071 | Amanda Morgan | Physical Therapy Assistant | 9100 Centennial Cir, Anchorage, AK 99504-1480 | 2017-01-24 |
1528477494 | Brent Lannen | Nursing Facility/Intermediate Care Facility | 9100 Centennial Cir, Anchorage, AK 99504-1480 | 2014-08-05 |
1831524321 | Mary K Palmer | Speech-Language Pathologist | 9100 Centennial Cir, Anchorage, AK 99504-1480 | 2013-09-04 |
1104260447 | Noranna Dixon | Occupational Therapist | 9100 Centennial Cir, Anchorage, AK 99504-1480 | 2013-04-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962011593 | Deyoung Dentistry, LLC | Clinic/Center | 2601 Boniface Parkway Suite 1, Anchorage, AK 99504 | 2020-07-29 |
1881257475 | Tirzah Shelton | Psychologist | Veteran Affairs Clinic, 1201 North Muldoon, Anchorage, AK 99504 | 2019-04-18 |
1831651652 | Mekennah Ward | Massage Therapist | 7731 Northern Lights Blvd, #220, Anchorage, AK 99504 | 2019-04-01 |
1952883266 | Quality & Quantity Care Services LLC | Custodial Care Facility | 848 Elaine Dr, Anchorage, Ak, 99504, The Same, Anchorage, AK 99504 | 2018-09-04 |
1659858587 | Chloe Janelle Escalante | Psychologist | 511 Oaklahoma St., Apt 2, Anchorage, AK 99504 | 2018-07-24 |
1184100141 | Haa LLC | Durable Medical Equipment & Medical Supplies | 1409 Twining Dr, Anchorage, AK 99504 | 2018-07-12 |
1831626225 | Christian Wilfred, Thomas Garrett | Social Worker | 1201 N Mulddon Rd, Anchorage, AK 99504 | 2017-05-16 |
1609309954 | Rowena R Jones | Assisted Living Facility | 4009 Scenic View, Anchorage, AK 99504 | 2017-04-04 |
1982156733 | Agape Care Coordination LLC | Case Manager/Care Coordinator | 2050 Paxson Dr., Anchorage, AK 99504 | 2016-10-27 |
1649626169 | Pa Lou Vang | Registered Nurse | 7404 E 4th Ave Unit B, Anchorage, AK 99504 | 2016-05-13 |
Find all providers in zip 99504 |
Taxonomy Code | 3140N1450X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Skilled Nursing Facility |
Specialization | Nursing Care, Pediatric |
A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. |
Notes: [7/1/2003: new] |
Please comment or provide details below to improve the information on MARY CONRAD CENTER.
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.