Organization Active NPI

Sunshine Assisted Living Home

  • Assisted Living Facility
  • Anchorage, AK
National Provider Identifier
1104140185
Registry record updated Mar 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
100792 Issued in AK
Legal business name
SUNSHINE ASSISTED LIVING HOME
Practice address
8037 Country Woods Dr
Anchorage, AK 99502-4691
Phone
(907) 947-6262
Fax
(907) 522-5322
NPI assigned
Mar 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2010

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

Authorized official

Name
Mr. Ferdie Tan Odron
Title
Owner/Administrator
Phone
(907) 947-6262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 100792 AK Primary

Addresses

Primary practice location

8037 Country Woods Dr
Anchorage, AK 99502-4691

Mailing address

8037 Country Woods Dr
Anchorage, AK 99502-4691
Phone (907) 947-6262

National Provider Directory

National Provider Directory
Tax ID family
Sunshine Assisted Living Home2 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": "1269043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269043200000",
    "number": "1104140185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8037 COUNTRY WOODS DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995024691",
            "telephone_number": "907-947-6262",
            "fax_number": "907-522-5322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8037 COUNTRY WOODS DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995024691",
            "telephone_number": "907-947-6262",
            "fax_number": "907-522-5322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE ASSISTED LIVING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-20",
        "last_updated": "2010-03-20",
        "status": "A",
        "authorized_official_last_name": "ODRON",
        "authorized_official_first_name": "FERDIE",
        "authorized_official_middle_name": "TAN",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "907-947-6262",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "100792",
            "primary": true
        }
    ],
    "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 Mar 20, 2010; 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.