NPIMap

Organization Active NPI

Rockng Years Two

  • Assisted Living Facility
  • Fairbanks, AK
National Provider Identifier
1083049969
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
100576 Issued in AK
Legal business name
ROCKNG YEARS TWO
Practice address
3291 Jefferson Dr
Fairbanks, AK 99709-5037
Phone
(907) 451-0806
NPI assigned
Sep 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2013

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

Authorized official

Name
Nicole Masson
Title
Owner/Administrator
Phone
(907) 451-0806

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 100576 AK Primary

Addresses

Primary practice location

3291 Jefferson Dr
Fairbanks, AK 99709-5037

Mailing address

1913 Jack St
Fairbanks, AK 99709-4111

National Provider Directory

National Provider Directory
Tax ID family
Rocking Years One2 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": "1378771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378771200000",
    "number": "1083049969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1913 JACK ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997094111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3291 JEFFERSON DR",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997095037",
            "telephone_number": "907-451-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKNG YEARS TWO",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-10",
        "last_updated": "2013-09-10",
        "status": "A",
        "authorized_official_last_name": "MASSON",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "907-451-0806"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "100576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.