Basic Information
| Provider Information | |||||||||
| NPI: | 1396879144 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | JOB READY, INC. | ||||||||
| LastName: | |||||||||
| FirstName: | |||||||||
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| OtherOrganizationName: | READY CARE | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 600 BARROW ST | ||||||||
| Address2: | SUITE 404 | ||||||||
| City: | ANCHORAGE | ||||||||
| State: | AK | ||||||||
| PostalCode: | 995013631 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9072583498 | ||||||||
| FaxNumber: | 9072790171 | ||||||||
| Practice Location | |||||||||
| Address1: | 357 E PARKS HWY | ||||||||
| Address2: | |||||||||
| City: | WASILLA | ||||||||
| State: | AK | ||||||||
| PostalCode: | 996547040 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9073575627 | ||||||||
| FaxNumber: | 9073575628 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/15/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| ProviderGenderCode: | |||||||||
| AuthorizedOfficialLastName: | SANFORD | ||||||||
| AuthorizedOfficialFirstName: | STEVEN | ||||||||
| AuthorizedOfficialMiddleName: | B. | ||||||||
| AuthorizedOfficialTitleorPosition: | EXECUTIVE DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 9072583498 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251B00000X | 272340 | AK | Y | Agencies | Case Management |
ID Information
| ID | Type | State | Issuer | Description | CMG575 | 05 | AK | MEDICAID |