Wickersham House Llc
LBN: Wickersham House Llc
Wickersham House Llc is an health care organization with primary practice located at 3950 Wickersham Way , Wasilla AK 99654-7553. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Respite Care Facility / Respite Care. Nursing & Custodial Care Facilities / Assisted Living Facility is the primary health care specialty.
Wickersham House Llc can be contacted via phone (907) 357-8342, or through Hendrickson, Linda Sharon via phone (907) 357-8342.
Contact Information
Primary practice address
3950 Wickersham Way
Wasilla AK 99654-7553
Phone: (907) 357-8342
Fax: (907) 357-8342
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Assisted Living Facility | 310400000X | 100366 | Alaska |
| Respite Care Facility / Respite Care | 385H00000X | 100366 | Alaska |
Profile Details
| NPI number | 1891919577 |
|---|---|
| LBN Legal business name | Wickersham House Llc |
| DBA Doing business as | |
| Authorized official | Hendrickson, Linda Sharon CNA, CASP |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 12th, 2007 |
| Last updated | Aug 22nd, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891919577 | NPPES |
| Alaska | MEDICAID | RL5607 | |
| Alaska | MEDICAID | HC 5607 |
Popular Providers
-
Marilyn Holm
1320 S Countrywood Dr , Wasilla AK 99623-9228 -
National Vision, Inc.
1350 S Seward Meridian Rd , Wasilla AK 99654-8332 -
Mat Su Valley Medical Center Llc
3051 Palmer Wasilla Hwy , Wasilla AK 99654-7234 -
Kevin C. Berg, O.D., Llc
1350 S Seward Meridian Pkwy , Wasilla AK 99654-8332 -
Excel Physical Therapy Limited Partnership
1700 E Bogard Rd Bldg B #203, Wasilla AK 99654-6563 -
John D Hunter
1751 Gardner Way Ste D, Wasilla AK 99654-6513 -
Lighthouse Family Medicine, Inc
290 N Willow St , Wasilla AK 99654-7042 -
Alaska Physician Services,Llc
3223 Palmer Wasilla Hwy Ste 2, Wasilla AK 99654-7236