Adela Assisted Living Home Inc.

Primary specialty

Respite CareTaxonomy code 385H00000X

License

HC5286 Issued in AK

Legal business name

ADELA ASSISTED LIVING HOME INC.

Practice address

7940 Ladasa PL
Anchorage, AK 99507-3052

Phone

(907) 522-2783

Fax

(907) 644-8530

NPI assigned

Mar 10, 2007

Last updated

Jun 26, 2008By 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

Mrs. Nora Sanchez Rivera

Title

President

Phone

(907) 522-2783

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1173484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1053443572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8601 GEIRINHAS PL",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995073682",
            "telephone_number": "907-522-2783",
            "fax_number": "907-644-8530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7940 LADASA PL",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995073052",
            "telephone_number": "907-522-2783",
            "fax_number": "907-644-8530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADELA ASSISTED LIVING HOME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-10",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "NORA",
        "authorized_official_middle_name": "SANCHEZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-522-2783",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "61",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "AK",
            "license": "HC5286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HC5286",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RL5286",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.