Active NPI
Sunset Haven Alh
- Assisted Living Facility
- Anchorage, AK
National Provider Identifier
1225151533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 434082
- Legal business name
- SUNSET HAVEN ALH
- Practice address
- 4210 Galactica Dr
Anchorage, AK 99517-1444 - Phone
- (907) 243-1169
- NPI assigned
- Apr 10, 2007
- 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
- Angelo Medina Ocampo
- Title
- Designee Administrator
- Phone
- (907) 243-1169
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 434082 | AK | Primary |
Addresses
Primary practice location
4210 Galactica Dr
Anchorage, AK 99517-1444
Mailing address
5950 Kody Dr
Anchorage, AK 99504-5307
Phone (907) 337-1190
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RL 6741 | Medicaid | AK |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213920000000",
"number": "1225151533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5950 KODY DR",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995045307",
"telephone_number": "907-337-1190",
"fax_number": "907-337-1190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4210 GALACTICA DR",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995171444",
"telephone_number": "907-243-1169"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNSET HAVEN ALH",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-10",
"last_updated": "2008-06-20",
"status": "A",
"authorized_official_last_name": "OCAMPO",
"authorized_official_first_name": "ANGELO",
"authorized_official_middle_name": "MEDINA",
"authorized_official_title_or_position": "DESIGNEE ADMINISTRATOR",
"authorized_official_telephone_number": "907-243-1169"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "AK",
"license": "434082",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RL 6741",
"state": "AK"
}
],
"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 Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.