Organization Active NPI

Clearfield Assisted Living Home

  • Assisted Living Facility
  • Anchorage, AK
National Provider Identifier
1174846604
Registry record updated Mar 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
100820 Issued in AK
Legal business name
CLEARFIELD ASSISTED LIVING HOME
Practice address
7673 Winchester St
Anchorage, AK 99507-4814
Phone
(907) 334-9497
Fax
(907) 334-9497
NPI assigned
Mar 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2010

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

Authorized official

Name
Mr. Rodolfo M Rafael Sr.
Title
Owner
Phone
(907) 334-9497

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 100820 AK Primary

Addresses

Primary practice location

7673 Winchester St
Anchorage, AK 99507-4814

Mailing address

7673 Winchester St
Anchorage, AK 99507-4814
Phone (907) 334-9497

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268265600000",
    "number": "1174846604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7673 WINCHESTER ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995074814",
            "telephone_number": "907-334-9497",
            "fax_number": "907-334-9497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7673 WINCHESTER ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995074814",
            "telephone_number": "907-334-9497",
            "fax_number": "907-334-9497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARFIELD ASSISTED LIVING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-11",
        "last_updated": "2010-03-11",
        "status": "A",
        "authorized_official_last_name": "RAFAEL",
        "authorized_official_first_name": "RODOLFO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-334-9497",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "100820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; 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.