Healthcare Provider Details

I. General information

NPI: 1215158779
Provider Name (Legal Business Name): HEARTS AND HANDS OF CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1550 E 74TH AVE
ANCHORAGE AK
99507-2614
US

IV. Provider business mailing address

1550 E 74TH AVE
ANCHORAGE AK
99507-2614
US

V. Phone/Fax

Practice location:
  • Phone: 907-929-5826
  • Fax: 907-929-5862
Mailing address:
  • Phone: 907-929-5826
  • Fax: 907-929-5862

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number731680
License Number StateAK
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number731680
License Number StateAK
# 4
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number731680
License Number StateAK
# 6
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number731680
License Number StateAK

VIII. Authorized Official

Name: KISHA RODRIGUEZ
Title or Position: CEO/OWNER
Credential:
Phone: 907-231-5760