Mitchell Home – Emotionally Disturbed Childrens' Residential Treatment Facility, NPI 1629299441

Mitchell Home is a healthcare provider. based in Fairbanks, Alaska. specializing in Emotionally Disturbed Childrens' Residential Treatment Facility. The NPI Number for Mitchell Home is 1629299441

Main info

Organization
Name
Mitchell Home
NPI
1629299441
Phone
(907) 456-6445
Address
209 FORTY MILE AVE
Authorized Official
MS. DRENDA TIGNER EXCUTIVE DIRECTOR
Enumeration Date
1 May 2007
Last Update Date
1 November 2012
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness80
Years active:19State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Mitchell Home

  • 209, Forty Mile Avenue, Slaterville, Fairbanks, Fairbanks North Star Borough, Alaska, 99701, United States

    FAIRBANKS, AK 997013110

    Phone: (907) 456-6445

    Type: Mailing

  • 3809, Mitchell Avenue, Westgate, Fairbanks, Fairbanks North Star Borough, Alaska, 99709, United States

    FAIRBANKS, AK 997094638

    Phone: (907) 456-6445

    Fax: (907) 456-6402

    Type: Location

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.

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Medicare Enrollment & Revalidation

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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

What unique ID ties claims to Mitchell Home?
NPI 1629299441 is assigned to Mitchell Home under the national enumeration system.
Is Mitchell Home active in the national directory?
Mitchell Home's public NPI profile is in an active state.
Does Mitchell Home list a primary specialty?
If you are matching referrals, note Emotionally Disturbed Childrens' Residential Treatment Facility for Mitchell Home. Clinical services aligned with this taxonomy classification.
Does Mitchell Home practice in Alaska?
You will see Fairbanks, Alaska on file for Mitchell Home alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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