Active NPI
Macgregor Care Services
- Assisted Living Facility (Mental Illness)
- Wasilla, AK
National Provider Identifier
1124734009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility (Mental Illness)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1692909 | Medicaid | AK |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Assisted Living Facility (Mental Illness)
- Wasilla, AK
- NPI 1861966269
Assisted Living, Mental Illness
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.