Avelina Assisted Living Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

000265 Issued in AK

Legal business name

AVELINA ASSISTED LIVING HOME

Practice address

242 Park St
Anchorage, AK 99508-2249

Phone

(907) 333-6649

Fax

(907) 375-0950

NPI assigned

Apr 17, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Vida Santiago

Title

Administrator

Phone

(907) 333-6649

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Avelina Assisted Living Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Avelina's Assisted Living Home

  • Assisted Living Facility
  • Anchorage, AK
  • NPI 1447477658
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003032327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 FLOWER ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082140",
            "telephone_number": "907-333-6649",
            "fax_number": "907-375-0950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 PARK ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082249",
            "telephone_number": "907-333-6649",
            "fax_number": "907-375-0950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVELINA ASSISTED LIVING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "VIDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-333-6649"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "000265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCI",
            "identifier": "RL8772",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristoffer Allen Portugaleza Auza, RN
• Avalia Health LLC
• J. Dette Avalon, MSN, ANP
• Avante Medical Center, LLC
• Ave Holistic Health & Chiropractic, LLC (Ave Holistic & Chiropractic LLC)
• Avelina's Assisted Living Home
• Maribel Avendano-Jimenez
• Kristin Rita Averell
• Avery Tanner, LLC
• D'Ivyanna Demya Avery

• Assisted Living Facility in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Assisted Living Facility in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.