Healthcare Provider Details

I. General information

NPI: 1154832962
Provider Name (Legal Business Name): HELPING HAND CARE COORDINATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2017
Last Update Date: 10/19/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12301 HERITAGE RD
ANCHORAGE AK
99516-2345
US

IV. Provider business mailing address

PO BOX 240633
ANCHORAGE AK
99524-0633
US

V. Phone/Fax

Practice location:
  • Phone: 907-575-6009
  • Fax: 907-563-0101
Mailing address:
  • Phone: 907-575-6009
  • Fax: 907-563-0101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateAK
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name: ROSEANN A KONONEN
Title or Position: ADMINISTRATOR/CARE COORDINATOR
Credential:
Phone: 907-575-6009