Provider Demographics
NPI:1649406257
Name:HI SOUTHERN ALASKA, INC.
Entity Type:Organization
Organization Name:HI SOUTHERN ALASKA, INC.
Other - Org Name:HOME INSTEAD SENIOR CARE FRANCHISE #637
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRES/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:STACEE
Authorized Official - Middle Name:FROST
Authorized Official - Last Name:KLEINSMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-277-4663
Mailing Address - Street 1:440 W BENSON BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99503-3860
Mailing Address - Country:US
Mailing Address - Phone:907-277-4663
Mailing Address - Fax:907-277-4667
Practice Address - Street 1:440 W BENSON BLVD STE 100
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-3860
Practice Address - Country:US
Practice Address - Phone:907-277-4663
Practice Address - Fax:907-277-4667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-10
Last Update Date:2018-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
612021800OtherDOL OWCP PROVIDER #