Provider Demographics
NPI:1073226304
Name:CAREGIVERS OF ALASKA LLC
Entity Type:Organization
Organization Name:CAREGIVERS OF ALASKA LLC
Other - Org Name:CAREGIVERS OF ALASKA LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:TONJA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAZLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-414-3673
Mailing Address - Street 1:PO BOX 872755
Mailing Address - Street 2:
Mailing Address - City:WASILLA
Mailing Address - State:AK
Mailing Address - Zip Code:99687-2755
Mailing Address - Country:US
Mailing Address - Phone:907-414-3673
Mailing Address - Fax:
Practice Address - Street 1:247 S ALASKA ST UNIT 6
Practice Address - Street 2:
Practice Address - City:PALMER
Practice Address - State:AK
Practice Address - Zip Code:99645-6335
Practice Address - Country:US
Practice Address - Phone:907-414-3673
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-02
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes385H00000XRespite Care FacilityRespite Care
No253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty