Branching Out Supported Services Llc

LBN: Branching Out Supported Services Llc
Branching Out Supported Services Llc is an health care organization with primary practice located at 8132 E 32Nd Ave Unit A , Anchorage AK 99504-4112. The organization recently has 2 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. Branching Out Supported Services Llc can be contacted via phone (907) 987-9267, or through Wrightsman, Glenn via phone (907) 987-9267.

Contact Information

Primary practice address
8132 E 32Nd Ave Unit A Anchorage AK 99504-4112
Phone: (907) 987-9267
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wrightsman, Glenn
Phone: (907) 987-9267

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1538715164
LBN Legal business name Branching Out Supported Services Llc
DBA Doing business as
Authorized official Wrightsman, Glenn
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2019
Last updated Nov 22nd, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538715164 NPPES
Alaska MEDICAID 1942785464

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