NPIMap

Organization Active NPI

Stone Brook Inn Inc

  • Respite Care
  • Soldotna, AK
National Provider Identifier
1164656641
Registry record updated May 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
STONE BROOK INN INC
Practice address
42340 Donna Circle
Soldotna, AK 99669
Phone
(907) 262-1583
Fax
(907) 262-1593
NPI assigned
May 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2009

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

Authorized official

Name
Audra Hedman III
Title
Administrator
Phone
(907) 262-1583

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X Primary

Addresses

Primary practice location

42340 Donna Circle
Soldotna, AK 99669

Mailing address

PO Box 144
Soldotna, AK 99669-0144
Phone (907) 262-1583

Other names 1

  • Stone Brook Inn Inc Assisted Living Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Stone Brook Inn Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1242086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242086400000",
    "number": "1164656641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 144",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996690144",
            "telephone_number": "907-262-1583",
            "fax_number": "907-262-1593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42340 DONNA CIRCLE",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "99669",
            "telephone_number": "907-262-1583",
            "fax_number": "907-262-1593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONE BROOK INN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-12",
        "last_updated": "2009-05-12",
        "status": "A",
        "authorized_official_last_name": "HEDMAN",
        "authorized_official_first_name": "AUDRA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-262-1583",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stone Brook Inn Inc Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Soldotna, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2009; 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.