Amg Healthcare LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

AMG HEALTHCARE LLC

Doing business as

Mount Moriah Assisted Living Home

Practice address

3951 Scenic View Dr
Anchorage, AK 99504-6602

Phone

(907) 929-0614

Fax

(907) 929-0614

NPI assigned

Mar 3, 2019

Last updated

Mar 3, 2019By 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

Aiko Marie Gonzales

Title

Designee

Phone

(917) 582-5991

Specialties & licenses 1

Addresses

Other names 1

• Mount Moriah Assisted Living Home Doing business as

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

{
    "created_epoch": "1551571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551571200000",
    "number": "1063970614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3951 SCENIC VIEW DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995046602",
            "telephone_number": "907-929-0614",
            "fax_number": "907-929-0614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3951 SCENIC VIEW DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995046602",
            "telephone_number": "907-929-0614",
            "fax_number": "907-929-0614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMG HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-03",
        "last_updated": "2019-03-03",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "AIKO MARIE",
        "authorized_official_title_or_position": "DESIGNEE",
        "authorized_official_telephone_number": "917-582-5991"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mount Moriah Assisted Living Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.