Active NPI
Stoebner Enterprises Limited
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Anchorage, AK
National Provider Identifier
1215529581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- STOEBNER ENTERPRISES LIMITED
- Practice address
- 3713 Robin St
Anchorage, AK 99504-4674 - Phone
- (907) 202-4427
- NPI assigned
- Feb 9, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gladys Stoebner
- Title
- Administrator
- Phone
- (907) 202-4427
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
3713 Robin St
Anchorage, AK 99504-4674
Mailing address
3713 Robin St
Anchorage, AK 99504-4674
Phone (907) 202-4427
Other names 1
- The Four Angels Assisted Living Home
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | DSM | Direct |
National Provider Directory
National Provider Directory- Tax ID family
- Stoebner Enterprises Limited
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Nursing Home Administrator
- Anchorage, AK
- NPI 1215697545
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Case Manager/Care Coordinator
- Anchorage, AK
- NPI 1073116828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612828800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1612828800000",
"number": "1215529581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3713 ROBIN ST",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995044674",
"telephone_number": "907-202-4427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3713 ROBIN ST",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995044674",
"telephone_number": "907-202-4427"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STOEBNER ENTERPRISES LIMITED",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-09",
"last_updated": "2021-02-09",
"certification_date": "2021-02-09",
"status": "A",
"authorized_official_last_name": "STOEBNER",
"authorized_official_first_name": "GLADYS",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "907-202-4427"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "DSM",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3713 Robin St",
"city": "Anchorage",
"state": "AK",
"country_code": "US",
"postal_code": "995044674",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "The Four Angels Assisted Living Home",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Feb 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.