Provider Demographics
NPI:1336540624
Name:ALASKAN HOME HEALTH, INC
Entity Type:Organization
Organization Name:ALASKAN HOME HEALTH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROMEO
Authorized Official - Middle Name:DIAZ
Authorized Official - Last Name:ESCALANTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-830-8548
Mailing Address - Street 1:9191 OLD SEWARD HWY STE 19A
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99515-2040
Mailing Address - Country:US
Mailing Address - Phone:907-830-8548
Mailing Address - Fax:907-868-2958
Practice Address - Street 1:9191 OLD SEWARD HWY STE 19A
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99515-2040
Practice Address - Country:US
Practice Address - Phone:907-830-8548
Practice Address - Fax:907-868-2958
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-06
Last Update Date:2014-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health