Organization Active NPI

New River, Inc

  • Assisted Living Facility
  • Kenai, AK
National Provider Identifier
1114241544
Registry record updated Mar 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
100745 Issued in AK
Legal business name
NEW RIVER, INC
Practice address
750 Baleen Ave
Suite 1
Kenai, AK 99611-8839
Phone
(907) 283-3038
Fax
(907) 283-3055
NPI assigned
Mar 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2010

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

Authorized official

Name
Nicole Balduf, CNA
Title
Administrator
Phone
(907) 283-3038

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 100745 AK Primary

Addresses

Primary practice location

750 Baleen Ave
Suite 1
Kenai, AK 99611-8839

Mailing address

750 Baleen Ave
Suite 1
Kenai, AK 99611-8839
Phone (907) 283-3038

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1268438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268438400000",
    "number": "1114241544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 BALEEN AVE",
            "address_2": "SUITE 1",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996118839",
            "telephone_number": "907-283-3038",
            "fax_number": "907-283-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 BALEEN AVE",
            "address_2": "SUITE 1",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996118839",
            "telephone_number": "907-283-3038",
            "fax_number": "907-283-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW RIVER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-13",
        "last_updated": "2010-03-13",
        "status": "A",
        "authorized_official_last_name": "BALDUF",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-283-3038",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "100745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenai, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2010; 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.