Organization
ALASKA CONSUMER DIRECT PERSONAL CARE, LLC
Active
Other names
Consumer Direct Care Network Alaska, Consumer Direct Personal Care
Organization subpart
No
Provider details
NPI number
Authorized official
BEN BLEDSOE (PRESIDENT/CEO)
(406) 532-2001
Entity
Organization
Contact information
Practice address
615 E 82ND AVE, STE 101, ANCHORAGE, AK 99518-3153
(907) 222-2652
Mailing address
100 CONSUMER DIRECT WAY, MISSOULA, MT 59808-5037
(406) 541-1900
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
AK
251B00000X
Case Management Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CM54531
—
AK
05
—
CM6101
—
AK
05
—
CM6102
—
AK
05
—
CMG317
—
AK
05
—
HC0317
—
AK
05
—
PCG317
—
AK
05
—
PCG3171
—
AK
05
—
PCG3172
—
AK
05
—
PCG3173
—
AK
Enumeration date
02/21/2007
Last updated
11/07/2018
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