Organization Active NPI

Divine Promise

  • Assisted Living Facility
  • Anchorage, AK
National Provider Identifier
1124356126
Registry record updated Jan 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
935193 Issued in AK
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

Updated by the provider on Jan 21, 2010

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.