NPIMap

Organization Active NPI

Heritage Assisted Living Home,LLC

  • Assisted Living Facility
  • Anchorage, AK
National Provider Identifier
1073852638
Registry record updated Feb 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
100927 Issued in AK
Legal business name
HERITAGE ASSISTED LIVING HOME,LLC
Practice address
6754 Obrien St
Anchorage, AK 99507-2184
Phone
(907) 223-1100
Fax
(907) 222-2439
NPI assigned
Feb 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2013

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

Authorized official

Name
Molly Joanna Woods, CNA
Title
Administator/Owner
Phone
(907) 223-1100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 100927 AK Primary
Assisted Living Facility 310400000X 969461 AK

Addresses

Primary practice location

6754 Obrien St
Anchorage, AK 99507-2184

Mailing address

PO Box 231253
Anchorage, AK 99523-1253
Phone (907) 223-1100

National Provider Directory

National Provider Directory
Tax ID family
Heritage Assisted Living Home LLC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1359676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359676800000",
    "number": "1073852638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 231253",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995231253",
            "telephone_number": "907-223-1100",
            "fax_number": "907-222-2439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6754 OBRIEN ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995072184",
            "telephone_number": "907-223-1100",
            "fax_number": "907-222-2439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE ASSISTED LIVING HOME,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-01",
        "last_updated": "2013-02-01",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_middle_name": "JOANNA",
        "authorized_official_title_or_position": "ADMINISTATOR/OWNER",
        "authorized_official_telephone_number": "907-223-1100",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "100927",
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "969461",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Feb 1, 2013; 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.