Healthcare Provider Details

I. General information

NPI: 1700207701
Provider Name (Legal Business Name): HEARTS & HANDS OF CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2013
Last Update Date: 12/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 S SEWARD MERIDIAN PKWY SUITE A & B
WASILLA AK
99654-8312
US

IV. Provider business mailing address

1401 S SEWARD MERIDIAN PKWY SUITE A & B
WASILLA AK
99654-8312
US

V. Phone/Fax

Practice location:
  • Phone: 907-631-3520
  • Fax: 907-631-3634
Mailing address:
  • Phone: 907-631-3520
  • Fax: 907-631-3634

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: EDDY ASTOJI
Title or Position: PROGRAM COORDINATOR
Credential:
Phone: 907-382-1689