Divine Haven Assisted Living Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

100475 Issued in AK

Legal business name

DIVINE HAVEN ASSISTED LIVING HOME

Practice address

1961 Norene St
Anchorage, AK 99508-3447

Phone

(907) 317-5080

Fax

(907) 334-8057

NPI assigned

Mar 2, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Juddy M Catalan, C.N.A.

Title

Administrator

Phone

(907) 317-5080

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184630400000",
    "number": "1043348881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 N HEATHER MEADOWS LOOP",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995073866",
            "telephone_number": "907-317-5080",
            "fax_number": "907-334-8057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1961 NORENE ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995083447",
            "telephone_number": "907-317-5080",
            "fax_number": "907-334-8057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HAVEN ASSISTED LIVING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "CATALAN",
        "authorized_official_first_name": "JUDDY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-317-5080",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "C.N.A."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "100475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RL2862",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven A Ditgen, DPT
• Danielle Kay Dittmer, LPC
• Divine Care
• Divine Grace Alh
• Divine Hands Assisted Living Home
• Divine Hope Assisted Living Home. LLC
• Divine Love Assisted Living Home LLC
• Divine Mercy Alh
• Divine Mercy Alh, LLC
• Divine Mercy II Alh, LLC

• 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 Jul 17, 2007; 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.