Organization Active NPI

Homestead Assisted Living

  • Assisted Living Facility
  • Palmer, AK
National Provider Identifier
1003093931
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
100637 Issued in AK
Legal business name
HOMESTEAD ASSISTED LIVING
Practice address
17635 E Pine Needle Way
Palmer, AK 99645-8275
Phone
(907) 745-9040
NPI assigned
Jan 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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

Authorized official

Name
Mr. Daniel Emerson Thornton
Title
Assistant Administrator/Owner
Phone
(907) 745-9040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 100637 AK Primary

Addresses

Primary practice location

17635 E Pine Needle Way
Palmer, AK 99645-8275

Mailing address

17635 E Pine Needle Way
Palmer, AK 99645-8275
Phone (907) 745-9040

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1003093931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17635 E PINE NEEDLE WAY",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996458275",
            "telephone_number": "907-745-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17635 E PINE NEEDLE WAY",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996458275",
            "telephone_number": "907-745-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMESTEAD ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "THORNTON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "EMERSON",
        "authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "907-745-9040",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "100637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmer, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; 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.