Organization
SPROUT FAMILY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILLIAN LUSH (EXECUTIVE DIRECTOR)
(907) 235-6044
Entity
Organization
Contact information
Practice address
3691 BEN WALTERS LN STE 4, HOMER, AK 99603-7750
(907) 235-6044
(907) 235-2644
Mailing address
3691 BEN WALTERS LN STE 4, HOMER, AK 99603-7750
(907) 235-6044
(907) 235-2644
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CMG117
—
AK
05
—
TC2625
—
AK
Enumeration date
03/23/2007
Last updated
12/05/2011
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