Casa Bella Assisted Living Home, LLC.

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

Legal business name

CASA BELLA ASSISTED LIVING HOME, LLC.

Practice address

2630 Kingsbridge Cir
Anchorage, AK 99504-3366

Phone

(907) 727-6092

NPI assigned

Apr 17, 2020

Organization subpart

No

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

Authorized official

Name

Katherine Gladys Forest

Title

Owner/Administrator

Phone

(907) 727-6092

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1587081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587081600000",
    "number": "1104446418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7740 KING ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995183054",
            "telephone_number": "907-727-6092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 KINGSBRIDGE CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995043366",
            "telephone_number": "907-727-6092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA BELLA ASSISTED LIVING HOME, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-17",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A",
        "authorized_official_last_name": "FOREST",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "GLADYS",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "907-727-6092"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirley Colleen Caruthers
• Erin Keller Carver
• Kayla D. Carver, DDS
• Molly Carver, NP
• Caryl a. Thompson (Caryl's Clinic of Occupational Therapy)
• Corazon B Casallo, R.N.
• Donna M Case
• James H Case Jr., DMD
• Jeffrey Owen Case, P.C.
• Michele Lynne Case

• Custodial Care Facility in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Custodial Care Facility in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; 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.