ENRICHMENT CENTER FOR MATURE ADULTS, LLC (NPI# 1699216606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699216606 |
| Entity Type | Organization |
| Organization Name | ENRICHMENT CENTER FOR MATURE ADULTS, LLC |
| Practice Address |
2207 E Tudor Rd Ste 33 Anchorage AK 99507-1069 |
| Practice Telephone | 9075611083 |
| Practice Fax Number | 9075611075 |
| Mailing Telephone | 9075611083 |
| Mailing Fax Number | 9075611075 |
| Enumeration Date | 2017-03-10 |
| Last Update Date | 2017-03-10 |
| Authorized Official Name | TOU XIONG (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 9075611083 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services | ||
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | DSDS | 05 |
| Street Address |
2207 E TUDOR RD STE 33 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99507-1069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013332824 | Clifford Ambro | Massage Therapist | 2207 E Tudor Rd Ste 33, Anchorage, AK 99507-1069 | 2014-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634233 | Mackena Elsie Johnson | Massage Therapist | Sports & Spinal Injury Clinic, 6634 Lake Otis Pkwy #a, Anchorage, AK 99507 | 2020-09-23 |
| 1710599808 | Abracadabra Speech LLC | Speech-Language Pathologist | 6823 Tudor Road, Anchorage, AK 99507 | 2020-08-19 |
| 1487111241 | Fe Comon | Nursing Home Administrator | 1841 E 57th Ave., 1841 E 57th Ave., Anchorage, AK 99507 | 2019-02-27 |
| 1780171249 | Carol Won | Pharmacist | 2550 E. 88th Ave., Anchorage, AK 99507 | 2018-04-19 |
| 1821549411 | Isioma Nwaeme | Registered Nurse | 2529 Rives Court, Anchorage, AK 99507 | 2016-10-18 |
| 1669921268 | Michaelyn Scott | Massage Therapist | 1601 E. Dimond Blvd., Suite 201, Anchorage, AK 99507 | 2016-09-25 |
| 1013387638 | Robert R Croley | Case Manager/Care Coordinator | 1515 E Tudor Rd Ste 6, Anchorage, AK 99507 | 2015-09-25 |
| 1124494265 | Ryan Scott Fordt | Chiropractor | 2665 E Tudor Rd Ste 201, Anchorage, AK 99507 | 2015-08-12 |
| 1073907465 | Sarah E Lawrence | Case Manager/Care Coordinator | 1750 Abbott Road, Alzheimer's Resource of Alaska, Anchorage, AK 99507 | 2015-03-24 |
| 1699184507 | Melissa Lingad | Nurse's Aide | 7691 Winchester St., Anchorage, AK 99507 | 2014-08-05 |
| Find all providers in zip 99507 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184990277 | Elderlink Adult Day Service, LLC | Clinic/Center | 2207 E Tudor Rd, Suite 34 & 36, Anchorage, AK 99507-1039 | 2012-03-22 |
| 1700079738 | Angel Tutaan | Clinic/Center | 10057 Marmot Cir, Anchorage, AK 99515-2346 | 2007-08-22 |
| 1043432289 | Greenwood Lodge Adult Day and Respite Care Services Inc. | Clinic/Center | 2351 Copperwood Dr, 8100 Greenwood St., Anchorage, AK 99516-1956 | 2007-05-03 |
| 1376766485 | The Salvation Army - Serendipity | Clinic/Center | 3550 E 20th Ave, Anchorage, AK 99508-3414 | 2007-04-10 |
| 1063555985 | Lydia Quinn | Clinic/Center | 1142 E 13th Ave, Anchorage, AK 99501-4739 | 2007-02-14 |
| 1396964870 | Anchorage Community Mental Health | Clinic/Center | 4020 Folker St, Anchorage, AK 99508-5321 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205156270 | Rendezvous Senior Day Services Inc. | Clinic/Center | 2441 1st Ave, Ketchikan, AK 99901-5801 | 2010-06-01 |
| 1922339233 | Frontier Community Services | Clinic/Center | 905 Cook Avenue, Suite B, Kenai, AK 99611-8046 | 2010-01-26 |
| 1952524779 | Respect Your Elders | Clinic/Center | 2301 Colleen St, Palmer, AK 99645 | 2007-04-10 |
| 1962625939 | Nome Community Center, Inc. | Clinic/Center | 505 West 3rd Avenue, Nome, AK 99762 | 2007-04-10 |
| 1922121789 | Chugiak Senior Citizens, Inc. | Clinic/Center | 22424 N Birchwood Loop Road, Wasilla, AK 99567-0000 | 2007-04-09 |
| 1134247042 | Catholic Community Service | Clinic/Center | 1803 Glacier Hwy, Juneau, AK 99801-7804 | 2007-03-27 |
| 1326201930 | Wasilla Area Seniors Inc | Clinic/Center | 1301 S Century Cir, Wasilla, AK 99654-8520 | 2008-07-03 |
| 1235353970 | Homer Senior Citizens, Inc. | Clinic/Center | 3935 Svedlund St, Homer, AK 99603-7673 | 2007-04-12 |
| 1124110796 | Peninsula Community Health Services of Alaska | Clinic/Center | 230 E Marydale Ave, Suite 2, Soldotna, AK 99669-7648 | 2006-09-29 |
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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.