Organization Active NPI

Rockingham Assisted Living Home

  • Assisted Living Facility
  • Anchorage, AK
National Provider Identifier
1184861833
Registry record updated Jan 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
100723 Issued in AK
Legal business name
ROCKINGHAM ASSISTED LIVING HOME
Practice address
3801 W 67TH Ave
Anchorage, AK 99502-2014
Phone
(907) 274-5333
Fax
(907) 222-3965
NPI assigned
Jan 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2009

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

Authorized official

Name
Robert J. Potter
Title
Administrator/Owner
Phone
(907) 274-5333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 100723 AK Primary

Addresses

Primary practice location

3801 W 67TH Ave
Anchorage, AK 99502-2014

Mailing address

3801 W 67TH Ave
Anchorage, AK 99502-2014

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1232150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232150400000",
    "number": "1184861833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 W 67TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995022014",
            "fax_number": "907-222-3965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 W 67TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995022014",
            "telephone_number": "907-274-5333",
            "fax_number": "907-222-3965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKINGHAM ASSISTED LIVING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-17",
        "last_updated": "2009-01-17",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "907-274-5333"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "100723",
            "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 Jan 17, 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.