=====================================================
General NPI Number Information
=====================================================
NPI Number | 1053237479
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FREEDOMCARE OF ALASKA LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/29/2026
-----------------------------------------------------
Last Update Date | 06/29/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 205 E BENSON BLVD STE 528
-----------------------------------------------------
City | ANCHORAGE
-----------------------------------------------------
State | AK
-----------------------------------------------------
Zip | 99503-4019
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 907-673-8427
-----------------------------------------------------
Fax | 907-217-1428
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 205 E BENSON BLVD STE 528
-----------------------------------------------------
City | ANCHORAGE
-----------------------------------------------------
State | AK
-----------------------------------------------------
Zip | 99503-4019
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 907-673-8427
-----------------------------------------------------
Fax | 907-217-1428
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR, NATIONAL EXPANSION
-----------------------------------------------------
Name | MS. CAITLIN GRIFFIN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 315-304-5151
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 253Z00000X
-----------------------------------------------------
Taxonomy Name | In Home Supportive Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------