Healthcare Provider Details

I. General information

NPI: 1134241573
Provider Name (Legal Business Name): CHUGIAK SENIOR CITIZENS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22424 BIRCHWOOD LOOP RD
CHUGIAK AK
99567-6476
US

IV. Provider business mailing address

22424 BIRCHWOOD LOOP RD
CHUGIAK AK
99567-6476
US

V. Phone/Fax

Practice location:
  • Phone: 907-688-2678
  • Fax: 907-688-1319
Mailing address:
  • Phone: 907-688-2678
  • Fax: 907-688-1319

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number000012
License Number StateAK
# 2
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number000012
License Number StateAK

VIII. Authorized Official

Name: MS. LINDA HENDRICKSON
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 907-688-2678