Organization Active NPI

Greenwood Lodge Adult Day and Respite Care Services Inc.

  • Adult Day Care Clinic/Center
  • Anchorage, AK
National Provider Identifier
1043432289
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
GREENWOOD LODGE ADULT DAY AND RESPITE CARE SERVICES INC.
Practice address
2351 Copperwood Dr
8100 Greenwood St.
Anchorage, AK 99516-1956
Phone
(907) 868-5297
Fax
(907) 868-5185
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Miss Julieta Aguilar Orres
Title
Owner Administrator
Phone
(907) 868-5297

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

2351 Copperwood Dr
8100 Greenwood St.
Anchorage, AK 99516-1956

Mailing address

2351 Copperwood Dr
Anchorage, AK 99516-1956
Phone (907) 868-5297

Other identifiers 1

IdentifierTypeStateIssuer
HC6770MedicaidAK

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043432289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2351 COPPERWOOD DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995161956",
            "telephone_number": "907-868-5297",
            "fax_number": "907-868-5185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 COPPERWOOD DR",
            "address_2": "8100 GREENWOOD ST.",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995161956",
            "telephone_number": "907-868-5297",
            "fax_number": "907-868-5185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWOOD LODGE ADULT DAY AND RESPITE CARE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ORRES",
        "authorized_official_first_name": "JULIETA",
        "authorized_official_middle_name": "AGUILAR",
        "authorized_official_title_or_position": "OWNER ADMINISTRATOR",
        "authorized_official_telephone_number": "907-868-5297",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HC6770",
            "state": "AK"
        }
    ],
    "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 Aug 22, 2020; 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.