NPIMap

Organization Active NPI

Rockingham Assisted Living, LLC

  • Assisted Living Facility
  • Anchorage, AK
National Provider Identifier
1003101825
Registry record updated Jun 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
100908 Issued in AK
Legal business name
ROCKINGHAM ASSISTED LIVING, LLC
Practice address
705 W 47TH Ave
Anchorage, AK 99503-7111
Phone
(907) 222-3896
Fax
(907) 222-3965
NPI assigned
Jun 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2011

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

Authorized official

Name
Lisa Stevens
Title
Administrator Designee
Phone
(907) 230-5205

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 100908 AK Primary

Addresses

Primary practice location

705 W 47TH Ave
Anchorage, AK 99503-7111

Mailing address

705 W 47TH Ave
Anchorage, AK 99503-7111

Other names 1

  • Fancy Moose Assisted Living Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fancy Moose Assisted Living2 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.

NPI Registry JSON

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

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307577600000",
    "number": "1003101825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 W 47TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995037111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 W 47TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995037111",
            "telephone_number": "907-222-3896",
            "fax_number": "907-222-3965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKINGHAM ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-09",
        "last_updated": "2011-06-09",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "ADMINISTRATOR DESIGNEE",
        "authorized_official_telephone_number": "907-230-5205"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "100908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fancy Moose Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; 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.