HOME ON MULCHATNA – NPI #1609353614
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.

Health Care Provider Taxonomy Code for Residential Treatment Facility, Intellectual and/or Developmental Disabilities

HOME ON MULCHATNA is a residential treatment facility located in WASILLA, AK. NPPES has assigned the NPI number 1609353614 to HOME ON MULCHATNA on July 23, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “HOME ON MULCHATNA” is a dba name, the actual legal business name for this organization is BRENDAN MCCANN. 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.

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 HOME ON MULCHATNA below.

NPI Profile for
BRENDAN MCCANN

NPI Number
1609353614
Enumeration Date

(about 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BRENDAN MCCANN
Doing Business As (dba): HOME ON MULCHATNA
Primary location
1460 E MULCHATNA DR
WASILLA, AK 99654-3540
Phone: (907) 841-2448 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BRENDAN MCCANN
OWNER / OPERATOR
Phone: (907) 841-2448
Updated
Identifiers

Identifiers for HOME ON MULCHATNA

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.

DescriptionIssuerStateIdentifier
MEDICAIDAKPENDING
Taxonomy Code(s)

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 100393

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.