Provider Demographics
NPI:1871976662
Name:AURORA ADVOCACY LLC
Entity type:Organization
Organization Name:AURORA ADVOCACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BRIDGETT
Authorized Official - Middle Name:ANN LOUISE
Authorized Official - Last Name:HITES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-957-0207
Mailing Address - Street 1:PO BOX 141263
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99514
Mailing Address - Country:US
Mailing Address - Phone:907-957-0207
Mailing Address - Fax:
Practice Address - Street 1:19991 TULWAR DRIVE
Practice Address - Street 2:
Practice Address - City:CHUGIAK
Practice Address - State:AK
Practice Address - Zip Code:99567
Practice Address - Country:US
Practice Address - Phone:907-957-0207
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-30
Last Update Date:2015-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK1576722OtherCARE COORDINATION PROVIDER NUMBER