Provider Demographics
NPI:1467820969
Name:AKIDEAS LIMITED LIABILITY CORPORATION
Entity Type:Organization
Organization Name:AKIDEAS LIMITED LIABILITY CORPORATION
Other - Org Name:CARE COORDINATION ALLIANCE OF HOMER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROGRAM ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-399-3346
Mailing Address - Street 1:39928 BRENMARK RD
Mailing Address - Street 2:
Mailing Address - City:HOMER
Mailing Address - State:AK
Mailing Address - Zip Code:99603-9527
Mailing Address - Country:US
Mailing Address - Phone:907-399-3346
Mailing Address - Fax:
Practice Address - Street 1:39928 BRENMARK RD
Practice Address - Street 2:
Practice Address - City:HOMER
Practice Address - State:AK
Practice Address - Zip Code:99603-9527
Practice Address - Country:US
Practice Address - Phone:907-399-3346
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-14
Last Update Date:2015-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1024994251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management