Padre Pio Assisted Living Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

101197 Issued in AK

Legal business name

PADRE PIO ASSISTED LIVING HOME

Practice address

8423 Dunlap CT
Anchorage, AK 99504-1475

Phone

(907) 350-2375

Fax

(907) 222-4886

NPI assigned

Jan 30, 2018

Last updated

Jan 30, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bryan Buo BoloNPI 1386142305

Title

Administrator

Phone

(907) 350-2375

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bryan Buo Bolo

  • Assisted Living Facility
  • Anchorage, AK
  • NPI 1386142305
  NPD (past) Authorized official

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517270400000",
    "number": "1013415660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8423 DUNLAP CT",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995041475",
            "telephone_number": "907-350-2375",
            "fax_number": "907-222-4886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8423 DUNLAP CT",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995041475",
            "telephone_number": "907-350-2375",
            "fax_number": "907-222-4886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PADRE PIO ASSISTED LIVING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-30",
        "last_updated": "2018-01-30",
        "status": "A",
        "authorized_official_last_name": "BOLO",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "BUO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-350-2375"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "101197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Medical, Inc.
• Nina Pacis
• Benjamin Packard, MD
• Isaac Pacor
• Arturo Padilla Alvarez
• John Francis Paff Jr.
• John A Pagan, MS
• Eric Lucas Page, PA-C
• Lisa Page, DNP, RN, AGACNP-BC
• Matthew Page

• 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 Jan 30, 2018; 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.