Provider Demographics
NPI:1457739872
Name:AURORA CARE
Entity Type:Organization
Organization Name:AURORA CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CARE COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-617-3033
Mailing Address - Street 1:3250 DENALI AVE
Mailing Address - Street 2:APT 30
Mailing Address - City:KETCHIKAN
Mailing Address - State:AK
Mailing Address - Zip Code:99901-5679
Mailing Address - Country:US
Mailing Address - Phone:907-617-3033
Mailing Address - Fax:907-782-4505
Practice Address - Street 1:3250 DENALI AVE
Practice Address - Street 2:APT 30
Practice Address - City:KETCHIKAN
Practice Address - State:AK
Practice Address - Zip Code:99901-5679
Practice Address - Country:US
Practice Address - Phone:907-617-3033
Practice Address - Fax:907-782-4505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-18
Last Update Date:2015-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1607881251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management