Alaska Guardian Angels, LLC

Primary specialty

Air AmbulanceTaxonomy code 3416A0800X

Legal business name

ALASKA GUARDIAN ANGELS, LLC

Practice address

21031 SE Apron Rd
Chugiak, AK 99567

Phone

(907) 631-1708

Fax

(907) 561-7464

NPI assigned

May 26, 2022

Last updated

May 26, 2022By 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

Mr. Dane Melvin

Title

President

Phone

(907) 841-3580

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653523200000",
    "number": "1023756160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 241889",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995241889",
            "telephone_number": "907-563-1777",
            "fax_number": "907-561-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21031 SE APRON RD",
            "city": "CHUGIAK",
            "state": "AK",
            "postal_code": "99567",
            "telephone_number": "907-631-1708",
            "fax_number": "907-561-7464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALASKA GUARDIAN ANGELS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-26",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-12",
        "status": "A",
        "authorized_official_last_name": "MELVIN",
        "authorized_official_first_name": "DANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-841-3580",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; 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.