Bethsaida Assisted Living LLC

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

Legal business name

BETHSAIDA ASSISTED LIVING LLC

Practice address

7080 Chad St
Anchorage, AK 99518-2055

Phone

(907) 644-3979

Fax

(907) 677-4331

NPI assigned

Sep 22, 2021

Last updated

Sep 22, 2021By 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. Festus Kayode Jibade

Title

House Manager

Phone

(907) 644-3979

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632268800000",
    "number": "1023789922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7080 CHAD ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995182055",
            "telephone_number": "907-644-3979",
            "fax_number": "907-677-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7080 CHAD ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995182055",
            "telephone_number": "907-644-3979",
            "fax_number": "907-677-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHSAIDA ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-22",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A",
        "authorized_official_last_name": "JIBADE",
        "authorized_official_first_name": "FESTUS",
        "authorized_official_middle_name": "KAYODE",
        "authorized_official_title_or_position": "HOUSE MANAGER",
        "authorized_official_telephone_number": "907-644-3979",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility (Behavioral Disturbances) in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Assisted Living Facility (Behavioral Disturbances) in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.