Provider Demographics
NPI:1215158779
Name:HEARTS & HANDS OF CARE INC.
Entity type:Organization
Organization Name:HEARTS & HANDS OF CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KISHA
Authorized Official - Middle Name:DIANNE
Authorized Official - Last Name:SMAW
Authorized Official - Suffix:
Authorized Official - Credentials:BACHELORS & MASTERS
Authorized Official - Phone:907-341-2272
Mailing Address - Street 1:8130 OLD SEWARD HWY STE 103
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99518-3349
Mailing Address - Country:US
Mailing Address - Phone:907-929-5826
Mailing Address - Fax:907-929-5862
Practice Address - Street 1:8130 OLD SEWARD HWY STE 103
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99518-3349
Practice Address - Country:US
Practice Address - Phone:907-929-5826
Practice Address - Fax:907-929-5862
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-01
Last Update Date:2013-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK731680251B00000X, 251E00000X, 251X00000X, 253Z00000X, 347E00000X, 385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
No251X00000XAgenciesSupports Brokerage
No347E00000XTransportation ServicesTransportation Broker
No385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKPCG314Medicaid
AKPCG027Medicaid
AKHC0073Medicaid
AKCMG542Medicaid
AKHC3147Medicaid
AKPCG028Medicaid
AKCM5542Medicaid