TINA MCCLUSKEY – NPI #1124544523
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

TINA MCCLUSKEY is a community based residential treatment facility located in TALKEETNA, AK. NPPES has assigned the NPI number 1124544523 to TINA MCCLUSKEY on August 17, 2017. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based 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 TINA MCCLUSKEY below.

NPI Profile for
TINA MCCLUSKEY

NPI Number
1124544523
Enumeration Date

(about 9 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
TINA MCCLUSKEY
Primary location
19205 E FUTURE RD
TALKEETNA, AK 99676
Phone: (907) 354-3441 Fax:
Mailing address
PO BOX 735
WILLOW, AK 99688-0735
Phone: (907) 354-3441 Fax:
Sole Proprietor
Yes
Updated
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
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)

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.