Parkside Assisted Living Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

112 Issued in AK

Legal business name

PARKSIDE ASSISTED LIVING INC

Practice address

309 E 24TH Ave
Anchorage, AK 99503-2105

Phone

(907) 276-0103

NPI assigned

Apr 11, 2007

Organization subpart

No

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

Authorized official

Name

Leslee Orebaugh

Title

Administrator

Phone

(907) 276-0103

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Parkside Assisted Living Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Parkside Assisted Living Inc

  • Respite Care
  • Anchorage, AK
  • NPI 1508086604
  NPD tax ID
• Parkside Assisted Living Inc Rosewood

  • Respite Care
  • Anchorage, AK
  • NPI 1326267014
  NPD tax ID

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124242342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 242423",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995242423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 E 24TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995032105",
            "telephone_number": "907-276-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKSIDE ASSISTED LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OREBAUGH",
        "authorized_official_first_name": "LESLEE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-276-0103"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESIDENTIAL LIVING",
            "identifier": "RL3924",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tikita Cortrell Parker, AAS, CDC I
• Parkplace Alh
• Colby Parks, M.D.
• Richard Andrew Clancy Parks
• Scott Parks, PT, DPT
• Parkside Assisted Living Inc
• Parkside Assisted Living Inc Rosewood
• Parliament Chiropractic LLC
• David Wayne Parliament, D.C.
• Khyati Parmar

• 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 Aug 22, 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.