JACOBS HOUSE – NPI #1629298120
Residential Treatment Facility, Emotionally Disturbed Children

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

JACOBS HOUSE is a residential treatment facility located in NOME, AK. NPPES has assigned the NPI number 1629298120 to JACOBS HOUSE on April 26, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “JACOBS HOUSE” is a dba name, the actual legal business name for this organization is KAWERAK INC. The primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.

The NPI profile was previously updated about 18 years ago on Jul 08, 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 JACOBS HOUSE below.

NPI Profile for
KAWERAK INC

NPI Number
1629298120
Enumeration Date

(more than 19 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
KAWERAK INC
Doing Business As (dba): JACOBS HOUSE
Primary location
407 K STREET
NOME, AK 99762
Phone: (907) 443-8096 Fax: (907) 443-2708
Mailing address
PO BOX 948
P.O. BOX 948
NOME, AK 99762-0948
Phone: (907) 443-8096 Fax: (907) 443-2708
Organization Subpart
No
Authorized Official
LORETTA BULLARD
PRESIDENT
Phone: (907) 443-5231
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
322D00000X
- Residential Treatment Facility, Emotionally Disturbed Children (Primary)
AK 400297

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.