Ketchikan Medical Center Home Health – Home Health Agency, NPI 1760427082
Home Health Agency
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Ketchikan Medical Center Home Health
1115 SE 164TH AVE DEPT 328
VANCOUVER, WA 986838003
Phone: (360) 729-1462
Fax: (360) 729-3104
Type: Mailing
212 CARLANNA LAKE RD STE 100
KETCHIKAN, AK 999015642
Phone: (907) 225-8914
Type: Location
Bellingham Post Office, Rolling Hills Drive, Bellingham, Norfolk County, Massachusetts, 02019, United States
BELLINGHAM, WA 982271798
Phone: (360) 734-5400
Fax: (360) 715-6552
Type: Mailing
126, Washington Street, Ketchikan, Ketchikan Gateway Borough, Alaska, 99901, United States
KETCHIKAN, AK 999015930
Phone: (907) 225-8914
Fax: (907) 247-8914
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.
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.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-10-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2026-01-31 (130 days ago).
Enrollment records
1
Earliest due date
2026-01-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20041012000915 | O | Home Health Agency | AK | 2026-01-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
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 98683)
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