Mam Jallow

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

Practice address

1493 Moss Creek Ave
Anchorage, AK 99507-3800

Phone

(907) 929-5620

NPI assigned

Jan 12, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Our Happy Home Care Agency

  • In Home Supportive Care Agency
  • Lynnwood, WA
  • NPI 1376042127

  Residential Treatment Facility, Intellectual and/Or Developmental Disabilities

  NPD Authorized official

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

{
    "created_epoch": "1263254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517961600000",
    "number": "1225368335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 W 29TH PL",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995033744",
            "telephone_number": "907-223-0251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1493 MOSS CREEK AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995073800",
            "telephone_number": "907-929-5620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JALLOW",
        "first_name": "MAM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-12",
        "last_updated": "2018-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "AK",
            "license": "938082",
            "primary": false
        },
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isatou Jahateh
• Anna Jajewski
• Caitlin Michelle Jaksic
• Mira Jaksic
• Nikola Jaksic
• Momodou Jallow
• James E Omalley MD PC
• Allison Lavern James
• Breanna W James, OTD, OTR/L
• Dana James, RN

• Physical Disabilities Residential Treatment Facility in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Physical Disabilities Residential Treatment Facility in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2018; 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.