BANYAN ALASKA, LLC – NPI #1902518848
Substance Abuse Rehabilitation Facility
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
BANYAN ALASKA, LLC is a substance abuse rehabilitation facility located in WASILLA, AK. NPPES has assigned the NPI number 1902518848 to BANYAN ALASKA, LLC on December 22, 2022. 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 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.
The NPI profile was last updated on Jan 29, 2026. 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 BANYAN ALASKA, LLC below.
NPI Profile for
BANYAN ALASKA, LLC
(more than 3 years ago)
WASILLA, AK 99654 Phone: (907) 290-5450 Fax: (907) 290-5460
1 Other location(s):
Wasilla, AK 99654-7605
Phone: (907) 290-5450
Fax: (907) 290-5460
POMPANO BEACH, FL 33062-4319 Phone: (954) 533-7705 Fax: (954) 781-7173
CEO
Phone: (954) 533-7705
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.
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 |
|---|---|---|
| 324500000X - Substance Abuse Rehabilitation Facility (Primary) |
||
| 261QR0405X - Clinic/Center / Rehabilitation, Substance Use Disorder |
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| 261QM0801X - Clinic/Center / Mental Health (Including Community Mental Health Center) |
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.