Sprout Family Services, Inc.

LBN: Sprout Family Services, Inc.
Sprout Family Services, Inc. is an health care organization with primary practice located at 3691 Ben Walters Ln Ste 4 , Homer AK 99603-7750. The organization recently has 2 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Day Training, Developmentally Disabled Services. Agencies / Case Management is the primary health care specialty. Sprout Family Services, Inc. can be contacted via phone (907) 235-6044, or through Lush, Jillian via phone (907) 235-6044.

Contact Information

Primary practice address
3691 Ben Walters Ln Ste 4 Homer AK 99603-7750
Phone: (907) 235-6044
Fax: (907) 235-2644
Website:
Map and Directions
Authorized official contact:
Name: Lush, Jillian
Phone: (907) 235-6044

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / Day Training, Developmentally Disabled Services 251C00000X

Profile Details

NPI number 1720105992
LBN Legal business name Sprout Family Services, Inc.
DBA Doing business as
Authorized official Lush, Jillian
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 2007
Last updated Dec 5th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720105992 NPPES
Alaska MEDICAID TC2625
Alaska MEDICAID CMG117

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