Bethany Home LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BETHANY HOME LLC

Practice address

2612A Strawberry Rd
Anchorage, AK 99502-7108

Phone

(907) 744-6540

NPI assigned

Mar 22, 2024

Organization subpart

No

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

Authorized official

Name

Luisa Angeles

Title

Owner/Ceo

Phone

(716) 563-7212

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1711065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711065600000",
    "number": "1114787371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2612A STRAWBERRY RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995027108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2612A STRAWBERRY RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995027108",
            "telephone_number": "907-744-6540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHANY HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-22",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "ANGELES",
        "authorized_official_first_name": "LUISA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "716-563-7212"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Assisted Living Facility in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; 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.