Organization Active NPI

Assisted Living Services, Inc.

  • In Home Supportive Care Agency
  • Eureka, CA
National Provider Identifier
1063256543
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ASSISTED LIVING SERVICES, INC.
Practice address
321 W Wabash Ave
Eureka, CA 95501-2819
Phone
(707) 496-8298
Fax
(707) 798-1357
NPI assigned
Jun 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Authorized official

Name
Amy Zelanick
Title
Bookkeeper/Treasurer
Phone
(707) 845-2941

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

321 W Wabash Ave
Eureka, CA 95501-2819

Mailing address

PO Box 5719
Eureka, CA 95502-5719
Phone (707) 496-8298

National Provider Directory

National Provider Directory

Locations

321 W Wabash Ave
Eureka, CA 95501
Phone (707) 445-1212

NPI Registry JSON

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

{
    "created_epoch": "1718841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1063256543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5719",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955025719",
            "telephone_number": "707-496-8298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 W WABASH AVE",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955012819",
            "telephone_number": "707-496-8298",
            "fax_number": "707-798-1357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSISTED LIVING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-20",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "ZELANICK",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "BOOKKEEPER/TREASURER",
        "authorized_official_telephone_number": "707-845-2941"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.