NPIMap

Organization Active NPI

JC Faith Open Arms #1

  • Assisted Living Facility
  • Anchorage, AK
National Provider Identifier
1104189273
Registry record updated Jun 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
6412530 Issued in AK
Legal business name
JC FAITH OPEN ARMS #1
Practice address
8301 E 11TH CT Unit 1
Anchorage, AK 99504-2210
Phone
(907) 602-0818
NPI assigned
Jun 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2012

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

Authorized official

Name
Ms. Joyce MewbornNPI 1346546603
Title
Owner
Phone
(907) 602-0818

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 6412530 AK Primary

Addresses

Primary practice location

8301 E 11TH CT Unit 1
Anchorage, AK 99504-2210

Mailing address

8301 E 11TH CT Unit 1
Anchorage, AK 99504-2210
Phone (907) 602-0818

National Provider Directory

National Provider Directory
Tax ID family
JC Faith Open Arms 15 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340323200000",
    "number": "1104189273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8301 E 11TH CT UNIT 1",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995042210",
            "telephone_number": "907-602-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 E 11TH CT UNIT 1",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995042210",
            "telephone_number": "907-602-0818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JC FAITH OPEN ARMS #1",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-22",
        "last_updated": "2012-06-22",
        "status": "A",
        "authorized_official_last_name": "MEWBORN",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-602-0818",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "6412530",
            "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 Jun 22, 2012; 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.