Branching Out Supported Services LLC
NPI 1942785464 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Fairbanks, AK
Branching Out Supported Services LLC is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility organization in Fairbanks, AK (NPI 1942785464).
Provider details
- NPI number
- 1942785464
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Glenn Wrightsman, Executive Director(907) 987-9267
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
Mailing address
Registry dates
- Enumerated
- 2018-10-01
- Last updated
- 2022-11-22
- Certified
- 2022-11-22
Frequently asked questions
- What is Branching Out Supported Services LLC's NPI number?
- Branching Out Supported Services LLC's National Provider Identifier (NPI) is 1942785464, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Branching Out Supported Services LLC?
- Branching Out Supported Services LLC is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Branching Out Supported Services LLC located?
- Branching Out Supported Services LLC's practice location on file with NPPES is 1584 Hilton Ave, Fairbanks, AK 99701-4016.
- What is Branching Out Supported Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Branching Out Supported Services LLC is (907) 987-9267.
- Who is the authorized official for Branching Out Supported Services LLC?
- The authorized official listed on Branching Out Supported Services LLC's NPPES record is Glenn Wrightsman, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Branching Out Supported Services LLC's NPI active?
- Yes — Branching Out Supported Services LLC's NPI (1942785464) is active in the NPPES registry as of the last update on 2022-11-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.