# MAT-SU SERVICES FOR CHILDREN & ADULTS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013041326
- **Authorized official:** KALEB JOHNSON (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (907) 352-1200

## Contact information

- **Practice address:** 1225 W SPRUCE AVE, WASILLA, AK 99654-5326
- **Practice address phone:** (907) 352-1200
- **Practice address fax:** (907) 352-1249
- **Mailing address:** 1225 W SPRUCE AVE, WASILLA, AK 99654-5326
- **Mailing address phone:** (907) 352-1200
- **Mailing address fax:** (907) 352-1249

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 403503 | AK | Yes |

## Other

- **Enumeration date:** 03/16/2007
- **Last updated:** 11/25/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | TC5050 | — | AK |