NPIMap

Organization Active NPI

Gracious Heart Assisted Home

  • Assisted Living Facility
  • Anchorage, AK
National Provider Identifier
1104328392
Registry record updated Mar 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
101142 Issued in AK
Legal business name
GRACIOUS HEART ASSISTED HOME
Practice address
2900 W 29TH Ave
Anchorage, AK 99517-1700
Phone
(907) 632-6098
NPI assigned
Mar 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2018

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

Authorized official

Name
Milagros V JenningsNPI 1205048303
Title
Administrator
Phone
(907) 362-6098

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 101142 AK Primary

Addresses

Primary practice location

2900 W 29TH Ave
Anchorage, AK 99517-1700

Mailing address

2900 W 29TH Ave
Anchorage, AK 99517-1700
Phone (907) 632-6098

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1519948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519948800000",
    "number": "1104328392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 W 29TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995171700",
            "telephone_number": "907-632-6098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 W 29TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995171700",
            "telephone_number": "907-632-6098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACIOUS HEART ASSISTED HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-02",
        "last_updated": "2018-03-02",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "MILAGROS",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-362-6098"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "101142",
            "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 2, 2018; 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.