Provider Demographics
NPI:1710054093
Name:CENTER FOR COMMUNITY
Entity Type:Organization
Organization Name:CENTER FOR COMMUNITY
Other - Org Name:COMPASS HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SIPE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-747-6960
Mailing Address - Street 1:700 KATLIAN ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:SITKA
Mailing Address - State:AK
Mailing Address - Zip Code:99835-7314
Mailing Address - Country:US
Mailing Address - Phone:907-747-6960
Mailing Address - Fax:907-747-4868
Practice Address - Street 1:700 KATLIAN ST
Practice Address - Street 2:SUITE B
Practice Address - City:SITKA
Practice Address - State:AK
Practice Address - Zip Code:99835-7314
Practice Address - Country:US
Practice Address - Phone:907-747-6960
Practice Address - Fax:907-747-4868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2009-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty
No251B00000XAgenciesCase ManagementGroup - Single Specialty
No252Y00000XAgenciesEarly Intervention Provider AgencyGroup - Single Specialty
No253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKCMG683Medicaid
AKCMG838Medicaid
AKCMG836Medicaid
AKCMG839Medicaid
AKHC6837Medicaid
AKPCG838Medicaid
AKPCG8381Medicaid
AKPCG8382Medicaid
AKPCG8383Medicaid
AKHC6838Medicaid
AKHC6839Medicaid
AKCMG837Medicaid
AKHC6836Medicaid
AKHC6840Medicaid
AKPCG8384Medicaid