OrganizationActive
Life Enrichment Services
NPI 1700909785 · Case Management Agency · Anchorage, AK
Provider details
- NPI number
- 1700909785
- Entity type
- Organization
- Primary specialty
- Case Management AgencyAgencies
- Organization subpart
- No
- Authorized official
- Mary Jacks, Care Coordinator(907) 868-3562
- License
- 902213 (AK)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs 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
2340 Sentry Dr Apt 805
Anchorage, AK 99507-5344
Phone: (907) 868-3562
Fax: (907) 868-3562
Street-level locationGet directions
Mailing address
Po Box 232245
Anchorage, AK 99523-2245
Registry dates
- Enumerated
- 2007-04-06
- Last updated
- 2008-12-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.