Active NPI
Divine Promise
- Assisted Living Facility
- Anchorage, AK
National Provider Identifier
1124356126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 935193
- Legal business name
- DIVINE PROMISE
- Practice address
- 1005 W 77TH Ave
Anchorage, AK 99518-2403 - Phone
- (907) 947-9678
- Fax
- (907) 929-1113
- NPI assigned
- Dec 2, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Toni Harrison
- Title
- Administrator
- Phone
- (907) 947-9678
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 935193 | AK | Primary |
Addresses
Primary practice location
1005 W 77TH Ave
Anchorage, AK 99518-2403
Mailing address
1005 W 77TH Ave
Anchorage, AK 99518-2403
Phone (907) 947-9678
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259712000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1264032000000",
"number": "1124356126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 W 77TH AVE",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995182403",
"telephone_number": "907-947-9678",
"fax_number": "907-929-1113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 W 77TH AVE",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995182403",
"telephone_number": "907-947-9678",
"fax_number": "907-929-1113"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIVINE PROMISE",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-02",
"last_updated": "2010-01-21",
"status": "A",
"authorized_official_last_name": "HARRISON",
"authorized_official_first_name": "TONI",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "907-947-9678",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "AK",
"license": "935193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.