Cordial Care Assisted Living Home

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CORDIAL CARE ASSISTED LIVING HOME

Practice address

3861 W 74TH Ave # a
Anchorage, AK 99502-2865

Phone

(907) 644-6024

NPI assigned

Oct 3, 2022

Last updated

Oct 3, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

CORDIAL CARE LLCAs reported in NPPES

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

Authorized official

Name

Haddyjatou Burang John

Title

Administrator

Phone

(907) 342-7385

Specialties & licenses 1

Addresses

Part of

Cordial Care Assisted Living Home

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1104540087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3861 W 74TH AVE # A",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995022865",
            "telephone_number": "907-644-6024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3861 W 74TH AVE # A",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995022865",
            "telephone_number": "907-644-6024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORDIAL CARE ASSISTED LIVING HOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CORDIAL CARE LLC",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A",
        "authorized_official_last_name": "JOHN",
        "authorized_official_first_name": "HADDYJATOU",
        "authorized_official_middle_name": "BURANG",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-342-7385"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Calley Corcoran, LMT
• Joshua Corcoran
• Paige Cordell
• Amy L Corder, DPT
• Abigail Cordero
• Cheryl S Cordie, RN
• Core Kinetics Occupational Therapy and Physical Rehabilitation, LLC
• Core Potential LLC
• Jessica Lynn Corey
• Marianna Corkill

• Home Health Agency in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Home Health Agency in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.