NPIMap

Organization Active NPI

St Mary'S Assisted Living Home #2

  • Assisted Living Facility
  • Anchorage, AK
National Provider Identifier
1073765244
Registry record updated Oct 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
100566 Issued in AK
Legal business name
ST MARY'S ASSISTED LIVING HOME #2
Practice address
4001 E 3Rd Ave
Anchorage, AK 99508-2106
Phone
(907) 929-1588
NPI assigned
Oct 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2008

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

Authorized official

Name
Teresa Parone Gauthier
Title
Administrator
Phone
(907) 349-0446

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 100566 AK Primary

Addresses

Primary practice location

4001 E 3Rd Ave
Anchorage, AK 99508-2106

Mailing address

4001 E 3Rd Ave
Anchorage, AK 99508-2106
Phone (907) 929-1588

Other identifiers 1

IdentifierTypeStateIssuer
RL56791MedicaidAK

National Provider Directory

National Provider Directory
Tax ID family
St Mary'S Assisted Living Home 22 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4001 E 3rd Ave
Anchorage, AK 99508
Phone (907) 929-1588

NPI Registry JSON

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

{
    "created_epoch": "1224288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224288000000",
    "number": "1073765244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 E 3RD AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082106",
            "telephone_number": "907-929-1588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 E 3RD AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082106",
            "telephone_number": "907-929-1588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARY'S ASSISTED LIVING HOME #2",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-18",
        "last_updated": "2008-10-18",
        "status": "A",
        "authorized_official_last_name": "GAUTHIER",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "PARONE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-349-0446"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "100566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RL56791",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Oct 18, 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.