Provider Demographics
NPI:1720269046
Name:CARE INC
Entity type:Organization
Organization Name:CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SEC/TREA
Authorized Official - Prefix:
Authorized Official - First Name:BERKLEY
Authorized Official - Middle Name:H
Authorized Official - Last Name:TILTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-376-2697
Mailing Address - Street 1:189 E. NELSON #123
Mailing Address - Street 2:
Mailing Address - City:WASILLA
Mailing Address - State:AK
Mailing Address - Zip Code:99687
Mailing Address - Country:US
Mailing Address - Phone:907-376-2697
Mailing Address - Fax:907-376-7966
Practice Address - Street 1:2801 E BOGARD RD
Practice Address - Street 2:
Practice Address - City:WASILLA
Practice Address - State:AK
Practice Address - Zip Code:99654-6014
Practice Address - Country:US
Practice Address - Phone:907-376-5483
Practice Address - Fax:907-376-5423
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-15
Last Update Date:2007-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK100604310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility