Healthcare Provider Details

I. General information

NPI: 1164546214
Provider Name (Legal Business Name): CARING COMPANIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2007
Last Update Date: 07/16/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8014 E 2ND AVE
ANCHORAGE AK
99504-1510
US

IV. Provider business mailing address

PO BOX 140665
ANCHORAGE AK
99514-0665
US

V. Phone/Fax

Practice location:
  • Phone: 907-278-4357
  • Fax: 907-278-4358
Mailing address:
  • Phone: 907-278-4357
  • Fax: 907-278-4358

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number436940
License Number StateAK
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number436940
License Number StateAK
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number436940
License Number StateAK

VIII. Authorized Official

Name: MR. LUCKY ILEGOGHIE EMOKIDI
Title or Position: ADMIN. MANAGER
Credential:
Phone: 907-278-4357