Active NPI
Northern Lighthouse Day Center
- Respite Care
- Anchorage, AK
National Provider Identifier
1003035627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respite Care
- License
- NONE ISSUED BY STATE
- Legal business name
- NORTHERN LIGHTHOUSE DAY CENTER
- Practice address
- 403 E 24TH Ave
Anchorage, AK 99503-2107 - Phone
- (907) 398-2939
- NPI assigned
- Apr 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Jo Mettler
- Title
- Administrator
- Phone
- (907) 398-2939
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Respite Care | 385H00000X | NONE ISSUED BY STATE | AK | Primary |
Addresses
Primary practice location
403 E 24TH Ave
Anchorage, AK 99503-2107
Mailing address
PO Box 241428
Anchorage, AK 99524-1428
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HC0349 | Medicaid | AK |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1003035627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 241428",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995241428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 E 24TH AVE",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995032107",
"telephone_number": "907-398-2939"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHERN LIGHTHOUSE DAY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-24",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "METTLER",
"authorized_official_first_name": "MARY JO",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "907-398-2939"
},
"taxonomies": [
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "AK",
"license": "NONE ISSUED BY STATE",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HC0349",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
- Northern Hearing Services Incorporated
- Northern Home Health, LLC
- Northern Light Adult Day Services, LLC
- Northern Lighthouse Assisted Living
- Northern Lighthouse Assisted Living
- Northern Lights Alh LLC
- Northern Lights Assisted Living Home LLC
- Northern Lights Care Assisted Living Home
- Northern Lights Care Coordination
- Northern Lights Chiropractic, LLC
Sources for this page
- 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.