Redoaks Assisted Living

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

418621 Issued in AK

Legal business name

REDOAKS ASSISTED LIVING

Practice address

8811 Cordell Cir
Anchorage, AK 99502-5520

Phone

(907) 245-3470

Fax

(907) 245-3472

NPI assigned

Apr 16, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Richard Lon Reeves

Title

Owner

Phone

(907) 245-3470

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013132976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8811 CORDELL CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995025520",
            "telephone_number": "907-245-3470",
            "fax_number": "907-245-3472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8811 CORDELL CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995025520",
            "telephone_number": "907-245-3470",
            "fax_number": "907-245-3472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDOAKS ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REEVES",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "LON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-245-3470",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "AK",
            "license": "418621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RL3470",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bruce Alan Reddish, DPM
• Anna Nichole Redmon
• Haley D Redmon
• Kathleen J Redmon
• Katie Jill Redmond, LMT
• Harmonie Redwine
• Ann Reed, RD
• Christopher M Reed, MD
• David Douglas Reed
• Jennifer Charese Reed, D.C.

• All providers in Anchorage, AK
• Assisted Living Facility (Mental Illness) 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.