BRANCHING OUT SUPPORTED SERVICES LLC – NPI #1538715164
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.
BRANCHING OUT SUPPORTED SERVICES LLC is a community based residential treatment facility located in ANCHORAGE, AK. NPPES has assigned the NPI number 1538715164 to BRANCHING OUT SUPPORTED SERVICES LLC on August 09, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, 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.
The NPI profile was previously updated about 4 years ago on Nov 22, 2022. 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 BRANCHING OUT SUPPORTED SERVICES LLC below.
NPI Profile for
BRANCHING OUT SUPPORTED SERVICES LLC
(about 7 years ago)
ANCHORAGE, AK 99504-4112 Phone: (907) 987-9267 Fax:
1 Other location(s):
Fairbanks, AK 99701-4016
Phone: (907) 987-9267
FAIRBANKS, AK 99701-4016 Phone: (907) 987-9267 Fax:
EXECUTIVE DIRECTOR
Phone: (907) 987-9267
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 for BRANCHING OUT SUPPORTED SERVICES LLC
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 | 1942785464 |
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) |
||
| 251C00000X - Day Training, Developmentally Disabled Services |
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.
Health Information Exchange (HEI)
HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.
- Endpoint
- [email protected]
- Endpoint type
- Direct Messaging Address
- Endpoint Description
- Content Type
- OTHER
- Affiliation
- N
- Endpoint Location
-
1584 HILTON AVE,
FAIRBANKS, AK 77025-1669