Joshua House, LLC.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

101158 Issued in AK

Legal business name

JOSHUA HOUSE, LLC.

Practice address

2180 S Foothills Blvd
Wasilla, AK 99623-9509

Phone

(907) 357-5413

Fax

(907) 357-5414

NPI assigned

Sep 22, 2016

Organization subpart

No

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

Authorized official

Name

Amy Hendrickson

Title

Administrator

Phone

(907) 357-5413

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1474502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474502400000",
    "number": "1093264814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "699 W CHARLOTTES CIR",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996542257",
            "telephone_number": "907-357-5413",
            "fax_number": "907-357-5414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 S FOOTHILLS BLVD",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996239509",
            "telephone_number": "907-357-5413",
            "fax_number": "907-357-5414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSHUA HOUSE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-22",
        "last_updated": "2016-09-22",
        "status": "A",
        "authorized_official_last_name": "HENDRICKSON",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-357-5413"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "101158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glen A Jones, PAC
• Jennifer Jones
• Marla Jerene Jones
• Regina Marie Jones, M.S. CCC-SLP
• Tammy Hope Johnson Jones, LMT
• Maranatha Jubilee, LMT
• Linda Kabealo
• Brittany Kadow
• Nina Kalytiak
• Ellen L. Kane

• Assisted Living Facility in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Assisted Living Facility in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; 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.