Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Branching Out Supported Services LLC

Organization Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1942785464

Branching Out Supported Services LLC is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Fairbanks, Alaska. Works from 2 locations. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1584 Hilton Ave
Fairbanks, AK 99701-4016
Phone: (907) 987-9267
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 806 Quasar Dr, Fairbanks, AK 99712-2613 — (907) 987-9267

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility Taxonomy 320600000X

Record details

NPI number1942785464
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Glenn Wrightsman — Executive Director · (907) 987-9267
Other names Birch House
NPI enumeratedOctober 1, 2018
Last updated in NPPESJuly 14, 2026
Certification dateJuly 14, 2026
Mailing address1584 Hilton Ave, Fairbanks, AK 99701-4016