BSD- PATHWAY HOME – NPI #1639102882
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

BSD- PATHWAY HOME is a community based residential treatment facility located in ANCHORAGE, AK. NPPES has assigned the NPI number 1639102882 to BSD- PATHWAY HOME on July 09, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BSD- PATHWAY HOME” is a dba name, the actual legal business name for this organization is SOUTHCENTRAL FOUNDATION. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

The NPI profile was previously updated about 3 years ago on Sep 14, 2023. 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 BSD- PATHWAY HOME below.

NPI Profile for
SOUTHCENTRAL FOUNDATION

NPI Number
1639102882
Enumeration Date

(about 20 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
SOUTHCENTRAL FOUNDATION
Doing Business As (dba): BSD- PATHWAY HOME
Primary location
4000 SAN ERNESTO AVE
ANCHORAGE, AK 99508-2874
Phone: (907) 729-5020 Fax:
Mailing address
PO BOX 35198
SEATTLE, WA 98124-5198
Phone: Fax:
Organization Subpart
Yes - BSD- PATHWAY HOME is subpart of another organization.
Authorized Official
RONALD OLSON
EXECUTIVE VICE PRESIDENT FINANCE
Phone: (907) 729-4939
Updated
Certification Date
Sep 14, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for BSD- PATHWAY 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.

DescriptionIssuerStateIdentifier
medicaidAK1021095
medicaidAK1000855
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
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)
AK 20467

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.