OrganizationActive
Bountiful
NPI 1114736899 · Meals Provider · Ketchikan, AK
Bountiful is a Meals Provider organization in Ketchikan, AK (NPI 1114736899).
Provider details
- NPI number
- 1114736899
- Entity type
- Organization
- Primary specialty
- Meals ProviderOther Service Providers
- Organization subpart
- No
- Authorized official
- Kevin Hall, Owner(201) 259-0289
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
25 Jefferson Way Ste 102
Ketchikan, AK 99901-5953
Phone: (201) 259-0289
Fax: (973) 215-2052
Street-level locationGet directions
Mailing address
25 Jefferson Way Ste 102
Ketchikan, AK 99901-5953
Other names (DBA / former)
- Other name
- Capitolmed LLC Dba Polaris Healthcare
Registry dates
- Enumerated
- 2025-01-06
- Last updated
- 2025-01-06
- Certified
- 2025-01-06
Frequently asked questions
- What is Bountiful's NPI number?
- Bountiful's National Provider Identifier (NPI) is 1114736899, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bountiful?
- Bountiful is classified in the NPPES registry as Meals Provider (Other Service Providers).
- Where is Bountiful located?
- Bountiful's practice location on file with NPPES is 25 Jefferson Way Ste 102, Ketchikan, AK 99901-5953.
- What is Bountiful's phone number?
- The practice phone number listed in the NPPES registry for Bountiful is (201) 259-0289.
- Who is the authorized official for Bountiful?
- The authorized official listed on Bountiful's NPPES record is Kevin Hall, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bountiful's NPI active?
- Yes — Bountiful's NPI (1114736899) is active in the NPPES registry as of the last update on 2025-01-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.