BLUEBERRY LODGE ASSISTED LIVING HOME – NPI #1013135649
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
BLUEBERRY LODGE ASSISTED LIVING HOME is a residential treatment facility located in JUNEAU, AK. NPPES has assigned the NPI number 1013135649 to BLUEBERRY LODGE ASSISTED LIVING HOME on April 20, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BLUEBERRY LODGE ASSISTED LIVING HOME” is a dba name, the actual legal business name for this organization is BLUEBERRY LODGE B&B. The primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.
The NPI profile was previously updated about 18 years ago on Jun 12, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BLUEBERRY LODGE ASSISTED LIVING HOME below.
NPI Profile for
BLUEBERRY LODGE B&B
(more than 19 years ago)
JUNEAU, AK 99801-7649 Phone: (907) 463-5886 Fax: (907) 463-5886
ADMINISTRATOR
Phone: (907) 463-5886
Identifiers for BLUEBERRY LODGE ASSISTED LIVING HOME
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | AK | HC5192 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 320600000X - Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary) |
AK | 100284 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.