Organization
HEAVENLY HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SERENA FAYE WAGGONER (OWNER ADMINISTRATOR)
(907) 245-0994
Entity
Organization
Contact information
Practice address
5420 E 99TH AVE, ANCHORAGE, AK 99507-6622
(907) 245-0994
Mailing address
5420 E 99TH AVE, ANCHORAGE, AK 99507-6622
(907) 245-0994
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
000258
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RL97411
—
AK
Enumeration date
05/18/2007
Last updated
07/15/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us