Hidden Heights Assisted Living, Inc.

Key facts

NPI: 1205967676
Entity type: Organization (NPI type 2)
Primary specialty: Assisted Living Facility 310400000X
License: 000155 (AK)
Legal business name: HIDDEN HEIGHTS ASSISTED LIVING, INC.
Practice address: 3536 E 17TH Ave
Anchorage, AK 99508-3361
Phone: (907) 278-6794
Fax: (907) 677-8594
NPI assigned: Mar 8, 2007
Organization subpart: No

Authorized official

Name: Mr. Ernest Earl Reeves
Title: President
Phone: (907) 242-9531

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Assisted Living Facility	310400000X	000155	AK	Yes

Addresses

Primary practice location

3536 E 17TH Ave
Anchorage, AK 99508-3361

Mailing address

PO Box 140924
Anchorage, AK 99514-0924
Phone (907) 242-9531

Other identifiers

Identifier	Type	State	Issuer
RL8016	Other	AK	MCI

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205967676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 140924",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995140924",
            "telephone_number": "907-242-9531",
            "fax_number": "907-677-8594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3536 E 17TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995083361",
            "telephone_number": "907-278-6794",
            "fax_number": "907-677-8594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIDDEN HEIGHTS ASSISTED LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REEVES",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-242-9531",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "000155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCI",
            "identifier": "RL8016",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

All providers in Anchorage, AK · Assisted Living Facility in Alaska

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.