Lilley Lodge 1, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

100797 Issued in AK

Legal business name

LILLEY LODGE 1, LLC

Practice address

2330 Old Richardson Hwy
North Pole, AK 99705-6017

Phone

(907) 347-1489

Fax

(907) 490-0322

NPI assigned

Jun 4, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Terryann Gainer, MBA

Title

Administrator Owner

Phone

(907) 347-1489

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275609600000",
    "number": "1013237635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 56709",
            "city": "NORTH POLE",
            "state": "AK",
            "postal_code": "997051709",
            "telephone_number": "907-347-1489",
            "fax_number": "907-490-0322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 OLD RICHARDSON HWY",
            "city": "NORTH POLE",
            "state": "AK",
            "postal_code": "997056017",
            "telephone_number": "907-347-1489",
            "fax_number": "907-490-0322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILLEY LODGE 1, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-04",
        "last_updated": "2010-06-04",
        "status": "A",
        "authorized_official_last_name": "GAINER",
        "authorized_official_first_name": "TERRYANN",
        "authorized_official_title_or_position": "ADMINISTRATOR OWNER",
        "authorized_official_telephone_number": "907-347-1489",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "100797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lane Co Arctic Hearth Assisted Living Inc
• Tamara Lee Lanmon
• Natalie Leffingwell, PT, DPT
• Helyn M Lefgren, MD
• Erin Krier Liles, PT, DPT
• Kaitlin Meryl Litton, RBT
• Lorna Fischer Speech Therapist, LLC
• Peter Marshall, M.D.
• Morgan Faye McGhee
• Chelsea McGuinness

• All providers in North Pole, AK
• Assisted Living Facility in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2010; 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.