NPIMap

Organization Active NPI

Nicholsons Assisted Living Inc

  • Assisted Living Facility
  • Kenai, AK
National Provider Identifier
1225258619
Registry record updated Aug 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
000116 Issued in AK
Legal business name
NICHOLSONS ASSISTED LIVING INC
Practice address
36601 Navigator Street
Kenai, AK 99611-0000
Phone
(907) 283-6684
NPI assigned
Apr 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2013

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

Authorized official

Name
Mary Nicholson
Title
Administrator
Phone
(907) 283-6684

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 000116 AK Primary

Addresses

Primary practice location

36601 Navigator Street
Kenai, AK 99611-0000

Mailing address

PO Box 2495
Kenai, AK 99611-2495

Other identifiers 2

IdentifierTypeStateIssuer
RL0134MedicaidAK
RL9955MedicaidAK

National Provider Directory

National Provider Directory
Tax ID family
Nicholsons Assisted Living Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377561600000",
    "number": "1225258619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2495",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996112495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36601 NAVIGATOR STREET",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996110000",
            "telephone_number": "907-283-6684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLSONS ASSISTED LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2013-08-27",
        "status": "A",
        "authorized_official_last_name": "NICHOLSON",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-283-6684"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "000116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RL0134",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RL9955",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenai, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; 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.