Cleveland Home

LBN: Southcentral Foundation
Cleveland Home is an health care organization with primary practice located at 1701 Cleveland Ave , Anchorage AK 99517-2689. The organization recently has only one registered license in Residential Treatment Facilities / Psychiatric Residential Treatment Facility, which is considered as the primary health care specialty. Southcentral Foundation can be contacted via phone (907) 729-6370, or through Morgan, David A via phone (907) 729-4955.

Contact Information

Primary practice address
1701 Cleveland Ave Anchorage AK 99517-2689
Phone: (907) 729-6370
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Morgan, David A
Phone: (907) 729-4955

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X 20467 Alaska

Profile Details

NPI number 1861698623
LBN Legal business name Southcentral Foundation
DBA Doing business as Cleveland Home
Authorized official Morgan, David A
Entity Organization
Organization subpart 1 No
Enumeration date Jun 26th, 2007
Last updated Sep 1st, 2010 - about 15 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 1861698623 NPPES
Alaska MEDICAID MH6076

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