PROCARE PCA, INC. (NPI# 1952544512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952544512 |
Entity Type | Organization |
Organization Name | PROCARE PCA, INC. |
Practice Address |
5050 E Dunbar Dr Ste C2 Wasilla AK 99654-7758 |
Mailing Address |
Po Box 143221 Anchorage AK 99514-3221 |
Practice Telephone | 9073577825 |
Practice Fax Number | 9073577883 |
Mailing Telephone | 9073577825 |
Mailing Fax Number | 9073577883 |
Enumeration Date | 2009-04-13 |
Last Update Date | 2009-04-13 |
Authorized Official Name | CAROL REBECCA SYCKS (PRESIDENT) |
Authorized Official Telephone | 9072972778 |
Authorized Official Credential | RN |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 253Z00000X | In Home Supportive Care | 925870 | AK | Agencies |
Street Address |
5050 E DUNBAR DR STE C2 |
City | WASILLA |
State | AK |
Zip Code | 99654-7758 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043391725 | Procare Home Medical, Inc. | Durable Medical Equipment & Medical Supplies | 5050 E Dunbar Dr, Ste C2, Wasilla, AK 99654-7758 | 2006-10-18 |
1588915755 | Alaska Pediatrics Associates PC | Pediatrics | 5050 E Dunbar Dr, Suite F, Wasilla, AK 99654-7758 | 2012-09-27 |
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 |
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Taxonomy Code | 253Z00000X |
Grouping | Agencies |
Classification | In Home Supportive Care |
An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144834706 | Kenai Peninsula Human Services Center | In Home Supportive Care | 35920 Sterling Hwy, Sterling, AK 99672-9520 | 2020-09-01 |
1073147815 | Liahona LLC | In Home Supportive Care | 35557 Kenai Spur Highway, Soldotna, AK 99669-7625 | 2020-03-02 |
1205467735 | Serendipity Care Services, LLC | In Home Supportive Care | 11901 Business Blvd Ste 1-2, Eagle River, AK 99577-7701 | 2020-02-03 |
1346870474 | Halo 'llc' | In Home Supportive Care | 5001 Arctic Blvd Ste 101, Anchorage, AK 99503-7068 | 2020-01-16 |
1619450236 | Act Care Providers LLC | In Home Supportive Care | 2907 Iris Dr, Anchorage, AK 99517-3288 | 2018-09-10 |
1003393356 | Sherab Tenzin | In Home Supportive Care | 4156 Checkmate Dr, Anchorage, AK 99508-5731 | 2018-07-19 |
1184111395 | Immaculated Concepcion | In Home Supportive Care | 1836 Laura Cir, Anchorage, AK 99508-3516 | 2018-04-13 |
1720537707 | Pribbenow Place | In Home Supportive Care | 1115 Walnut Ave, Kenai, AK 99611-7506 | 2016-10-01 |
1326593047 | Sdx Home Care Operations, LLC | In Home Supportive Care | 7985 E 16th Ave Ste 201, Anchorage, AK 99504-2896 | 2016-08-23 |
1003274978 | Williams Reid Alh | In Home Supportive Care | 1830 Twining Dr, Anchorage, AK 99504-3041 | 2016-02-05 |
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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.