SHANGRI'LA RANCH (NPI# 1700143211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700143211 |
| Entity Type | Organization |
| Organization Name | SHANGRI'LA RANCH |
| Practice Address |
782 Adventure Rd Fairbanks AK 99712-3330 |
| Mailing Address |
Po Box 56776 North Pole AK 99705-1776 |
| Practice Telephone | 9076877775 |
| Mailing Telephone | 9076877775 |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2012-04-20 |
| Authorized Official Name | KARMA SPARKS BROWN (OWNER/OPERATOR) |
| Authorized Official Telephone | 9076877775 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 253Z00000X | In Home Supportive Care | AK | Agencies | |
| Y | 251C00000X | Day Training, Developmentally Disabled Services | AK | Agencies |
| Street Address |
782 ADVENTURE RD |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99712-3330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295216687 | Janet Lynn Juenke | Massage Therapist | 615 O'leary Rd, Fairbanks, AK 99712 | 2018-08-24 |
| 1730618422 | Melody Waldroup | Massage Therapist | 845 Birch Hill Rd, Fairbanks, AK 99712 | 2017-06-07 |
| 1154715928 | Relax Your Mind, Body and Soul | Clinic/Center | 559 Golden Morn St, Fairbanks, AK 99712 | 2015-03-19 |
| 1295045508 | Kelly Eggleston | Case Manager/Care Coordinator | 764 Adventure Road, Fairbanks, AK 99712 | 2010-10-20 |
| 1588871628 | Country Estates Inc | Assisted Living Facility | 240 Peregrine Drive, Fairbanks, AK 99712 | 2007-05-17 |
| 1275754012 | Presbyterian Hospitality House | Residential Treatment Facility, Emotionally Disturbed Children | 7609 Chena Hot Springs Rd, Fairbanks, AK 99712 | 2007-05-01 |
| 1750717922 | Moveit Physical Therapy, LLC | Clinic/Center | 665 Aspen Heights Dr, Fairbanks, AK 99712-1111 | 2013-09-19 |
| 1144669052 | Jessica Revells | Occupational Therapy Assistant | 734 Manchester Loop, Fairbanks, AK 99712-1120 | 2013-06-25 |
| 1134455397 | Farmers Loop Home, LLC | Assisted Living Facility | 1002 Senate Loop, 1002 Senate Loop, Fairbanks, AK 99712-1130 | 2009-10-22 |
| 1417227752 | Viola L Mccain | Social Worker | 1335 Skyline Dr, Fairbanks, AK 99712-1151 | 2012-01-04 |
| Find all providers in zip 99712 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881852663 | Morning Star Ranch | Day Training, Developmentally Disabled Services | 2757 College Rd, Fairbanks, AK 99709-3751 | 2008-05-28 |
| 1346466802 | Adult Learning Programs of Alaska | Day Training, Developmentally Disabled Services | 122 1st Ave Ste 201, Fairbanks, AK 99701-4871 | 2007-04-17 |
| 1538715164 | Branching Out Supported Services LLC | Day Training, Developmentally Disabled Services | 1584 Hilton Ave, Fairbanks, AK 99701-4016 | 2019-08-09 |
| 1366919409 | Blooming Hearts LLC | Day Training, Developmentally Disabled Services | 201 Old Steese Hwy Ste 5, Fairbanks, AK 99701-3160 | 2018-10-26 |
| 1497069892 | Emilianne Lansdown | Day Training, Developmentally Disabled Services | 122 1st Ave, Suite 201, Fairbanks, AK 99701-4803 | 2010-07-28 |
| 1700199601 | Pauline Eva Rodriguez | Day Training, Developmentally Disabled Services | 122 1st Ave, Suite 201, Fairbanks, AK 99701-4803 | 2010-07-20 |
| 1528391240 | Adult Learning Programs of Alaska | Day Training, Developmentally Disabled Services | 122 1st Ave, Fairbanks, AK 99701-4803 | 2009-09-14 |
| 1043469349 | Tanana Chiefs Conference | Day Training, Developmentally Disabled Services | 122 1st Ave, Suite 600 Client Development, Fairbanks, AK 99701-4803 | 2008-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689282030 | Florence L Achwil | Day Training, Developmentally Disabled Services | 4423 E 6th Ave, Anchorage, AK 99508-2226 | 2020-07-21 |
| 1740843457 | Fe's Assisted Living Home | Day Training, Developmentally Disabled Services | 1841 E 57th Ave, Anchorage, AK 99507-1901 | 2019-04-18 |
| 1619432937 | Alaskan Red Assisted Living LLC | Day Training, Developmentally Disabled Services | 6291 Gross Dr, Anchorage, AK 99507-2059 | 2019-02-01 |
| 1184118366 | Clouds Rest Commons Inc | Day Training, Developmentally Disabled Services | 5772 E Morning Mist Dr, Palmer, AK 99645-9186 | 2018-06-20 |
| 1396243663 | Fritz Miller | Day Training, Developmentally Disabled Services | 43850 Ross Dr, Soldotna, AK 99669-6809 | 2018-01-31 |
| 1760902803 | Discovery Living LLC | Day Training, Developmentally Disabled Services | 16845 Eleonora St, Eagle River, AK 99577-7614 | 2017-06-20 |
| 1346633922 | Golden Hearts, Inc. | Day Training, Developmentally Disabled Services | 6401 Blackberry St, Anchorage, AK 99502-2135 | 2015-03-06 |
| 1639570203 | J&j Independent Living, LLC | Day Training, Developmentally Disabled Services | 165 E. Parks Hwy, Suite 106, Wasilla, AK 99654-3909 | 2014-09-14 |
| 1184047292 | Mountainside Assisted Living Home | Day Training, Developmentally Disabled Services | 633 5th St, Douglas, AK 99824-5512 | 2014-01-24 |
| 1427354570 | Hope Community Resources, Inc. | Day Training, Developmentally Disabled Services | 8918 Juliana St, Anchorage, AK 99502-5563 | 2011-02-08 |
| 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.