ILL Learning Lab – Emotionally Disturbed Childrens' Residential Treatment Facility, NPI 1609097476

Emotionally Disturbed Childrens' Residential Treatment Facility

ILL Learning Lab is a healthcare provider. based in Fairbanks, Alaska. specializing in Emotionally Disturbed Childrens' Residential Treatment Facility. The organization holds a License No. ========= (AK). The NPI Number for ILL Learning Lab is 1609097476

Main info

Organization

Name

ILL Learning Lab

NPI

1609097476

Phone

(907) 456-6445

Address

209 FORTY MILE AVE

Authorized Official

MS. DRENDA TIGNER EXCUTIVE DIRECTOR MA

Enumeration Date

1 May 2007

Last Update Date

21 July 2022

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience52

Completeness80

Years active:19State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for ILL Learning Lab

209 FORTY MILE AVE
SUITE #100
FAIRBANKS, AK 99701
Phone: (907) 456-6445
Fax: (907) 456-6402
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99701)

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Reviews

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Frequently asked questions

Can I verify ILL Learning Lab with an NPI only?

You can start verification with NPI 1609097476 for ILL Learning Lab, then check state licensing separately.

Is ILL Learning Lab listed as active for patients and plans?

The listing shows ILL Learning Lab as active in the NPI system.

What taxonomy line describes ILL Learning Lab?

For research purposes, treat ILL Learning Lab as Emotionally Disturbed Childrens' Residential Treatment Facility in this dataset. Clinical services aligned with this taxonomy classification.

What address line appears for ILL Learning Lab?

ILL Learning Lab's geographic hint is Fairbanks, Alaska in our summary view.

How many locations tie to this NPI?

2 practice locations appear in the available data.