Healthcare Provider Details

I. General information

NPI: 1053237479
Provider Name (Legal Business Name): FREEDOMCARE OF ALASKA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 E BENSON BLVD STE 528
ANCHORAGE AK
99503-4019
US

IV. Provider business mailing address

205 E BENSON BLVD STE 528
ANCHORAGE AK
99503-4019
US

V. Phone/Fax

Practice location:
  • Phone: 907-673-8427
  • Fax: 907-217-1428
Mailing address:
  • Phone: 907-673-8427
  • Fax: 907-217-1428

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. CAITLIN GRIFFIN
Title or Position: DIRECTOR, NATIONAL EXPANSION
Credential:
Phone: 315-304-5151