Provider Demographics
NPI:1407730443
Name:WALDA HOME CARE LLC
Entity type:Organization
Organization Name:WALDA HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:YASMINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ABAKAR ABDOU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-947-6871
Mailing Address - Street 1:12301 SILVER SPRUCE CIR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99516-2698
Mailing Address - Country:US
Mailing Address - Phone:907-538-9866
Mailing Address - Fax:
Practice Address - Street 1:2808 W 32ND AVE
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99517-1767
Practice Address - Country:US
Practice Address - Phone:907-538-9866
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility