Northern Lighthouse Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

000250 Issued in AK

Legal business name

NORTHERN LIGHTHOUSE ASSISTED LIVING

Practice address

307 E 24TH Ave
Anchorage, AK 99503-2105

Phone

(907) 242-5282

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

S. M. Mettler

Title

Administrator

Phone

(907) 242-5282

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Northern Lighthouse Dba Northern Lighthouse Day Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Northern Lighthouse Assisted Living

  • Respite Care
  • Anchorage, AK
  • NPI 1639297567
  NPD tax ID
• Northern Lighthouse Dba Northern Lighthouse Day Center

  • Respite Care
  • Soldotna, AK
  • NPI 1659601409
  NPD tax ID

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262044800000",
    "number": "1013035385",
    "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",
            "telephone_number": "907-242-5282",
            "fax_number": "907-276-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 E 24TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995032105",
            "telephone_number": "907-242-5282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN LIGHTHOUSE ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2009-12-29",
        "status": "A",
        "authorized_official_last_name": "METTLER",
        "authorized_official_first_name": "S. M.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-242-5282"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "000250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESIDENTIAL LIVING",
            "identifier": "RL2466",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northbridge, LLC
• Northern Connections
• Northern Hearing Services Incorporated
• Northern Home Health, LLC
• Northern Light Adult Day Services, LLC
• Northern Lighthouse Assisted Living
• Northern Lighthouse Day Center
• Northern Lights Alh LLC
• Northern Lights Assisted Living Home LLC
• Northern Lights Care Assisted Living Home

• 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 Dec 29, 2009; 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.