Individual provider Active NPI

Amie Njie Sanneh

  • Assisted Living Facility (Mental Illness)
  • Anchorage, AK
National Provider Identifier
1033778113
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
License
101308 Issued in AK
Practice address
922 Cherry St
Anchorage, AK 99504-2229
Phone
(907) 331-8545
NPI assigned
Jun 11, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X 101308 AK Primary

Addresses

Primary practice location

922 Cherry St
Anchorage, AK 99504-2229

Mailing address

3401 Greenland Dr Unit B
Anchorage, AK 99517-2062
Phone (907) 331-8545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
101308AKMDAssisted Living Facility (Mental Illness)

Practice roles

OrganizationSpecialtyStatusNew patients
Graystone Assisted Living Home LLC PastSince Jul 25, 2019 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1033778113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 GREENLAND DR UNIT B",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995172062",
            "telephone_number": "907-331-8545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 CHERRY ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995042229",
            "telephone_number": "907-331-8545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANNEH",
        "first_name": "AMIE",
        "middle_name": "NJIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-11",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "AK",
            "license": "101308",
            "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 Jun 11, 2019; 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.