Organization Active NPI

Macgregor Care Services

  • Assisted Living Facility (Mental Illness)
  • Wasilla, AK
National Provider Identifier
1124734009
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
Legal business name
MACGREGOR CARE SERVICES
Practice address
3471 W. Wren St.
Wasilla, AK 99623
Phone
(907) 376-1514
NPI assigned
Jan 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Authorized official

Name
Tina Renee Sampley
Title
Administrator
Phone
(907) 841-1514

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X Primary

Addresses

Primary practice location

3471 W. Wren St.
Wasilla, AK 99623

Mailing address

3003 North Cir
Anchorage, AK 99507-3954
Phone (907) 841-1514

Other identifiers 1

IdentifierTypeStateIssuer
1692909MedicaidAK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1124734009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 NORTH CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995073954",
            "telephone_number": "907-841-1514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3471 W. WREN ST.",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "99623",
            "telephone_number": "907-376-1514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACGREGOR CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-25",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-18",
        "status": "A",
        "authorized_official_last_name": "SAMPLEY",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-841-1514"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1692909",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.