SOUTHCENTRAL FOUNDATION (NPI# 1942414933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942414933 |
| Entity Type | Organization |
| Organization Name | SOUTHCENTRAL FOUNDATION |
| Other Organization Name | ELDER PROGRAM |
| Practice Address |
6901 E Tudor Rd Suite 8 Anchorage AK 99507-1241 |
| Mailing Address |
4501 Diplomacy Dr Attn: Provider Enrollment Anchorage AK 99508-5919 |
| Practice Telephone | 9077296500 |
| Mailing Telephone | 9077294955 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2016-01-28 |
| Authorized Official Name | RONALD LEE OLSON (VP FINANCE) |
| Authorized Official Telephone | 9077294939 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | 20467 | AK | Agencies |
| Other Name | Type Code |
|---|---|
| Elder Program | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407466204 | Southcentral Foundation | Clinic/Center | 11495 N Callison St, Sutton, AK 99674 | 2020-08-06 |
| 1528600947 | Southcentral Foundation | Clinic/Center | 6901 E Tudor Rd Ste 8, Anchorage, AK 99507-1254 | 2019-10-17 |
| 1639722069 | Southcentral Foundation | Community/Behavioral Health | 4175 Tudor Centre Dr, Anchorage, AK 99508-5917 | 2019-07-24 |
| 1659924025 | Southcentral Foundation | Community/Behavioral Health | 4341 Tudor Centre Dr Ste 300, Anchorage, AK 99508-5904 | 2019-07-24 |
| 1720548035 | Southcentral Foundation | Clinic/Center | 4441 Diplomacy Dr Fl 5, Anchorage, AK 99508-5910 | 2019-03-22 |
| 1750854089 | Southcentral Foundation | Clinic/Center | 400 W Benson Blvd, Anchorage, AK 99503-3829 | 2019-01-09 |
| 1639652662 | Southcentral Foundation | Clinic/Center | 26341 Eklutna Village Rd, Chugiak, AK 99567-5148 | 2018-09-14 |
| 1811420391 | Southcentral Foundation | Clinic/Center | 1021 E 3rd Ave, Anchorage, AK 99501-6102 | 2017-04-11 |
| 1043767940 | Southcentral Foundation | Dentist | 11495 N. Callison Street, Sutton, AK 99674 | 2016-09-08 |
| 1689021776 | Southcentral Foundation | Clinic/Center | 755 A St, Anchorage, AK 99501-3625 | 2016-05-18 |
| Street Address |
6901 E TUDOR RD SUITE 8 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99507-1241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578571022 | Richard Gregorin | Dentist | 6901 E Tudor Rd, Suite 9, Anchorage, AK 99507-1241 | 2006-08-03 |
| 1972050870 | Southcentral Foundation | Dentist | 6901 E Tudor Rd, Anchorage, AK 99507-1254 | 2016-09-08 |
| 1982804068 | Southcentral Foundation | Clinic/Center | 6901 E Tudor Rd, Anchorage, AK 99507-1241 | 2007-07-18 |
| 1588873384 | Richard Charles Gregorin II | Dentist | 6901 E Tudor Rd, Suite #9, Anchorage, AK 99507-1241 | 2007-05-21 |
| 1871702688 | R C Gregorin II Dds LLC | Clinic/Center | 6901 E Tudor Rd, Suite #9, Anchorage, AK 99507-1241 | 2007-05-21 |
| 1851440978 | Southcentral Foundation | Clinic/Center | 6901 E Tudor Rd, Anchorage, AK 99507-1241 | 2007-01-09 |
| 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 | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851915953 | Sundance Ak Care Coordination LLC | Case Management | 11830 Northern Raven Dr, Anchorage, AK 99516-1978 | 2020-06-04 |
| 1891331237 | Daybreak Incorporated | Case Management | 121 W Fireweed Ln Ste 175, Anchorage, AK 99503-2035 | 2019-11-20 |
| 1902370042 | Alpenglow Care Coordination LLC | Case Management | 3310 Lois Dr, Anchorage, AK 99517-2036 | 2019-01-11 |
| 1053893248 | Kristine Joie M Mendoza | Case Management | 2483 Lochenshire Pl, Anchorage, AK 99504-5900 | 2018-09-04 |
| 1952895336 | Ak Waiver and Tefra Planning LLC | Case Management | 14041 Sunview Dr, Anchorage, AK 99515-4131 | 2018-06-19 |
| 1437643301 | 1by Grace Tefra Services, LLC | Case Management | 6644 Cimarron Cir, Anchorage, AK 99504-3945 | 2018-06-14 |
| 1164934956 | Godwin A Abam | Case Management | 4543 Lake Otis Pkwy Apt 110, Anchorage, AK 99507-1443 | 2017-11-02 |
| 1659829117 | Alaska Independent Care Coordination | Case Management | 12001 Woodway Cir, Anchorage, AK 99516-2048 | 2016-09-13 |
| 1659741890 | Abacus Care Coordination | Case Management | 404 Eklutna St # B, Anchorage, AK 99504-2141 | 2015-09-30 |
| 1275900938 | Cara Advocates | Case Management | 9550 Arlene Dr, Anchorage, AK 99502-1633 | 2015-08-28 |
| Find all providers in ANCHORAGE | ||||
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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.