Divine Grace Alh

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

DIVINE GRACE ALH

Practice address

7940 Ladasa PL
Anchorage, AK 99507-3052

Phone

(907) 727-5986

Fax

(907) 743-3061

NPI assigned

Jan 10, 2022

Organization subpart

Yes

Parent organization

DIVINE GRACE ALHAs reported in NPPES

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

Authorized official

Name

Miss Lea MinaNPI 1710649041

Title

Administrator

Phone

(907) 727-5986

Specialties & licenses 1

Addresses

Part of

Divine Grace Alh

Practitioners 1

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

• Lea G Mina

  • Assisted Living Facility (Mental Illness)
  • Anchorage, AK
  • NPI 1710649041

  Assisted Living, Mental Illness

  NPD Authorized official

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641772800000",
    "number": "1134870330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7940 LADASA PL",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995073052",
            "telephone_number": "907-727-5986",
            "fax_number": "907-743-3061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7940 LADASA PL",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995073052",
            "telephone_number": "907-727-5986",
            "fax_number": "907-743-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE GRACE ALH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIVINE GRACE ALH",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A",
        "authorized_official_last_name": "MINA",
        "authorized_official_first_name": "LEA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-727-5986",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nyachang Dit
• Courtney J Ditgen, DPT
• Steven A Ditgen, DPT
• Danielle Kay Dittmer, LPC
• Divine Care
• Divine Hands Assisted Living Home
• Divine Haven Assisted Living Home
• Divine Hope Assisted Living Home. LLC
• Divine Love Assisted Living Home LLC
• Divine Mercy Alh

• Assisted Living Facility (Mental Illness) in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Assisted Living Facility (Mental Illness) in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.