Active NPI
Naath Assistednliving Home
- Assisted Living Facility (Mental Illness)
- Anchorage, AK
National Provider Identifier
1073390043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility (Mental Illness)
- Legal business name
- NAATH ASSISTEDNLIVING HOME
- Doing business as
- Naath Assistednliving Home
- Practice address
- 1104 W 29TH PL
Anchorage, AK 99503-3746 - Phone
- (907) 222-6775
- NPI assigned
- Sep 12, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James K Puol
- Title
- Administrator
- Phone
- (907) 222-6775
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility (Mental Illness) | 3104A0625X | Primary | ||
| Mental Illness Community Based Residential Treatment Facility | 320800000X |
Addresses
Primary practice location
1104 W 29TH PL
Anchorage, AK 99503-3746
Mailing address
1104 W 29TH PL
Anchorage, AK 99503-3746
Phone (907) 222-6775
Other names 1
- NAATH ASSISTEDNLIVING HOME
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Assisted Living Facility
- Anchorage, AK
- NPI 1457838278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694476800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694476800000",
"number": "1073390043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1104 W 29TH PL",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995033746",
"telephone_number": "907-222-6775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1104 W 29TH PL",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995033746",
"telephone_number": "907-222-6775"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NAATH ASSISTEDNLIVING HOME",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-12",
"last_updated": "2023-09-12",
"certification_date": "2023-09-12",
"status": "A",
"authorized_official_last_name": "PUOL",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "907-222-6775"
},
"taxonomies": [
{
"code": "3104A0625X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Mental Illness",
"state": null,
"license": null,
"primary": true
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "NAATH ASSISTEDNLIVING 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 Sep 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.