KENAI PENINSULA COMMUNITY CARE CENTER – NPI #1952440570
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.

KENAI PENINSULA COMMUNITY CARE CENTER is a residential treatment facility located in KENAI, AK. NPPES has assigned the NPI number 1952440570 to KENAI PENINSULA COMMUNITY CARE CENTER on February 06, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 6 years ago on Aug 22, 2020. 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 KENAI PENINSULA COMMUNITY CARE CENTER below.

NPI Profile for
KENAI PENINSULA COMMUNITY CARE CENTER

NPI Number
1952440570
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
KENAI PENINSULA COMMUNITY CARE CENTER
Primary location
320 S SPRUCE ST
KENAI, AK 99611-7939
Phone: (907) 283-7635 Fax: (907) 283-9575
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TAMARA BIDWELL
EXECUTIVE DIRECTOR
Phone: (907) 283-7635
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 311415

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.