Organization Active NPI

Miracle'S Heavenly Hands II, LLC

  • Assisted Living Facility
  • Anchorage, AK
National Provider Identifier
1013712421
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
MIRACLE'S HEAVENLY HANDS II, LLC
Practice address
602 N Park St Unit B
Anchorage, AK 99508-1525
Phone
(907) 917-6973
NPI assigned
Feb 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Authorized official

Name
Tracey Godfrey
Title
Owner
Phone
(907) 917-6973

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

602 N Park St Unit B
Anchorage, AK 99508-1525

Mailing address

602 N Park St Unit B
Anchorage, AK 99508-1525

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1739836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1013712421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 N PARK ST UNIT B",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995081525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 N PARK ST UNIT B",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995081525",
            "telephone_number": "907-917-6973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE'S HEAVENLY HANDS II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-18",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "GODFREY",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-917-6973"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 18, 2025; 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.