MR. BRENDAN CHARLES MCCANN (NPI# 1790262905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790262905 |
| Entity Type | Individual |
| Full Name | MR. BRENDAN CHARLES MCCANN |
| Practice Address |
1460 E Mulchatna Dr Wasilla AK 99654-3540 |
| Practice Telephone | 9078412448 |
| Mailing Telephone | 9078412448 |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2018-07-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 100393 | AK | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013382449 | Brendan H. Mccann | Chiropractor | 12 Portwalk Pl, Portsmouth, NH 03801-4086 | 2015-12-10 |
| 1770726788 | Brendan P Mccann | Physical Therapist | 379 Oakwood Rd, Huntington Station, NY 11746-7205 | 2009-04-07 |
| Street Address |
1460 E MULCHATNA DR |
| City | WASILLA |
| State | AK |
| Zip Code | 99654-3540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609353614 | Brendan Mccann | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1460 E Mulchatna Dr, Wasilla, AK 99654-3540 | 2018-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003426784 | Colleen Maggie Newcity | Case Manager/Care Coordinator | 851 Westpoint Suite 310, Wasilla, AK 99654 | 2020-08-06 |
| 1659995884 | Amy M Lowe | Peer Specialist | 1363 W Spuce Ave, Wasilla, AK 99654 | 2020-06-03 |
| 1922648690 | Achieve Medical Alaska LLC | Clinic/Center | 1981 E Palmer, Suite 230, Wasilla, AK 99654 | 2020-01-10 |
| 1588205538 | Juan Carlos Garcia | Physician Assistant | 950 East Bogard Road, Suite 103, Wasilla, AK 99654 | 2019-10-01 |
| 1427610864 | Sharon Webb | Counselor | 705 S Knik Goose Bay Rd Suite K, Wasilla, AK 99654 | 2019-07-06 |
| 1306401864 | Logan Lee Cook | Peer Specialist | 2953 E Fairview Loop, Wasilla, AK 99654 | 2019-05-09 |
| 1053883595 | Moose Creek Medical Clinic LLC | Nurse Practitioner | 2341 S. Fern St., Suite 300, Wasilla, AK 99654 | 2018-12-21 |
| 1487124962 | Melissa A Stevens | Massage Therapist | 2201 W That Rd, Wasilla, AK 99654 | 2018-11-28 |
| 1609359561 | Audrey E Beers | Midwife | 2405 S. Knik Goose Bay Rd., Wasilla, AK 99654 | 2018-09-07 |
| 1093297418 | Karlee Janine Mccorry | Occupational Therapist | 613 S Knik-goose Bay Rd, Wasilla, AK 99654 | 2018-09-01 |
| Find all providers in zip 99654 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063050516 | Mary Ann Miller | Assisted Living Facility | 4519 W Amanda Dr, Wasilla, AK 99623-1046 | 2019-12-16 |
| 1659912152 | Kristal Steele | Assisted Living Facility | 2650 N Garnet Ln, Wasilla, AK 99654-3414 | 2019-10-05 |
| 1477053965 | Justine M Fine | Assisted Living Facility | 1414 N Pioneer Peak Dr, Wasilla, AK 99654-5924 | 2018-02-20 |
| 1760996847 | Utopia LLC | Assisted Living Facility | 6651 N Grouse Loop, Wasilla, AK 99654-9020 | 2017-11-27 |
| 1659890879 | The Alaska Care Home | Assisted Living Facility | 5511 W Montclaire Ave, Wasilla, AK 99623-0984 | 2017-09-19 |
| 1164960183 | All Good Homes | Assisted Living Facility | 3551 N Aoki Dr, Wasilla, AK 99654-2835 | 2017-02-09 |
| 1093264814 | Joshua House, LLC. | Assisted Living Facility | 2180 S Foothills Blvd, Wasilla, AK 99623-9509 | 2016-09-22 |
| 1275902652 | Magnolia Manor LLC | Assisted Living Facility | 751 N Someret Cir, Wasilla, AK 99654 | 2015-09-16 |
| 1215374749 | Granny's Downhome Care Center | Assisted Living Facility | 2200 E Wolverine Cir, Wasilla, AK 99654-2708 | 2013-05-23 |
| 1689935777 | Dan & Robin Mingo Enterprises | Assisted Living Facility | 7750 W Golden Dr, Wasilla, AK 99623-9235 | 2012-06-05 |
| Find all providers in WASILLA | ||||
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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.