OrganizationActive
Presbyterian Hospitality House
NPI 1962619643 · Emotionally Disturbed Childrens' Residential Treatment Facility · Fairbanks, AK
Provider details
- NPI number
- 1962619643
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Drenda Tigner, Excutive Director(907) 456-6445
Specialties & taxonomies
Residential Treatment Facilities
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
209 Forty Mile Ave Ste 100
Fairbanks, AK 99701-3110
Phone: (907) 456-6445
Fax: (907) 456-6402
Street-level locationGet directions
Mailing address
209 Forty Mile Ave Ste 100
Fairbanks, AK 99701-3110
Other names (DBA / former)
- Other name
- 7th Ave Home
Registry dates
- Enumerated
- 2007-05-16
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.