Northern Living Centers, LLC

Primary specialty

Respite CareTaxonomy code 385H00000X

License

100409 Issued in AK

Legal business name

NORTHERN LIVING CENTERS, LLC

Practice address

2795 W Stonebridge Dr
Wasilla, AK 99654-0742

Phone

(907) 376-3821

NPI assigned

Mar 5, 2007

Organization subpart

No

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

Authorized official

Name

Karen L Rhoades

Title

Owner

Phone

(907) 376-3821

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Northern Living Centers LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Northern Living Centers, LLC

  • Assisted Living Facility
  • Wasilla, AK
  • NPI 1639247810
  NPD tax ID

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144359142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 W. RIVERDELL DR.",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996549704",
            "telephone_number": "907-376-3821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2795 W STONEBRIDGE DR",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996540742",
            "telephone_number": "907-376-3821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN LIVING CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RHOADES",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-376-3821"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "AK",
            "license": "100409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HC 5257",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Jennings Norris, RBT
• Northern Dentistry Inc.
• Northern Edge Physical Therapy Limited Partnership
• Northern Edge Physical Therapy LLC
• Northern Living Center LLC
• Northern Living Centers, LLC
• Northern Neurology, LLC
• Northern Orthopedics Inc
• Northstar Assisted Living, Inc.
• Northstar Chiropractic

• Respite Care in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Respite Care in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.