Gloria'S Golden Heart Assisted Living, LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

100488 Issued in AK

Legal business name

GLORIA'S GOLDEN HEART ASSISTED LIVING, LLC

Practice address

3713 Robin St
Anchorage, AK 99504-4674

Phone

(907) 339-9198

Fax

(907) 339-9198

NPI assigned

Sep 1, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Joaquin Miguel Barbachano

Title

Manager/Chief Financial Officer

Phone

(907) 622-9198

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251763200000",
    "number": "1114150513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3713 ROBIN ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995044674",
            "telephone_number": "907-339-9198",
            "fax_number": "907-339-9198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3713 ROBIN ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995044674",
            "telephone_number": "907-339-9198",
            "fax_number": "907-339-9198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORIA'S GOLDEN HEART ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-01",
        "last_updated": "2009-09-01",
        "status": "A",
        "authorized_official_last_name": "BARBACHANO",
        "authorized_official_first_name": "JOAQUIN",
        "authorized_official_middle_name": "MIGUEL",
        "authorized_official_title_or_position": "MANAGER/CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "907-622-9198",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "AK",
            "license": "100488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Glessing
• Deana K Glick, PA-C
• Linda Irene Glick, OTR/L, CHT
• Kenneth Francis Glifort, M.D., M.P.H.
• Karl Glore
• Steven Isaac Glover
• Jeneen Glroia Kevcey
• Kevin Glynn
• Christopher Gobah
• Alice Gobeli, LMT

• Adult Care Home Facility in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Adult Care Home Facility in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2009; 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.