Healthcare Provider Details

I. General information

NPI: 1770606253
Provider Name (Legal Business Name): CATHOLIC SOCIAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3710 E 20TH AVE STE 1
ANCHORAGE AK
99508-3418
US

IV. Provider business mailing address

225 CORDOVA ST
ANCHORAGE AK
99501-2409
US

V. Phone/Fax

Practice location:
  • Phone: 907-276-5590
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: JANELLE O'DONNELL
Title or Position: PROGRAM DIRECTOR OF SNS
Credential:
Phone: 907-222-7308