Organization Active NPI

HRG Healthcare LLC

  • Assisted Living Facility
  • Anchorage, AK
National Provider Identifier
1073094439
Registry record updated Aug 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
101273 Issued in AK
Legal business name
HRG HEALTHCARE LLC
Doing business as
MOUNT ZION ASSISTED LIVING HOME
Practice address
6720 E 11TH Ave
Anchorage, AK 99504-1822
Phone
(907) 677-0286
NPI assigned
Aug 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2018

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

Authorized official

Name
Aiko Marie Obah Gonzales
Title
Member
Phone
(917) 582-5991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 101273 AK Primary

Addresses

Primary practice location

6720 E 11TH Ave
Anchorage, AK 99504-1822

Mailing address

6720 E 11TH Ave
Anchorage, AK 99504-1822
Phone (907) 677-0286

Other names 1

  • MOUNT ZION ASSISTED LIVING HOME Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534982400000",
    "number": "1073094439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6720 E 11TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995041822",
            "telephone_number": "907-677-0286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6720 E 11TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995041822",
            "telephone_number": "907-677-0286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HRG HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-23",
        "last_updated": "2018-08-23",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "AIKO MARIE",
        "authorized_official_middle_name": "OBAH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "917-582-5991"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "101273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOUNT ZION ASSISTED LIVING HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 23, 2018; 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.