Organization Active NPI

M.G.D. Assisted Living Home

  • Assisted Living Facility (Mental Illness)
  • Anchorage, AK
National Provider Identifier
1225419740
Registry record updated Jun 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
License
101101 Issued in AK
Legal business name
M.G.D. ASSISTED LIVING HOME
Practice address
243 Klevin St
Anchorage, AK 99508-2149
Phone
(907) 644-0627
Fax
(907) 868-2589
NPI assigned
Jun 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2015

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

Authorized official

Name
Mrs. Merlina G DugganNPI 1477946366
Title
Owner/Designee
Phone
(907) 644-0627

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)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X 101101 AK Primary

Addresses

Primary practice location

243 Klevin St
Anchorage, AK 99508-2149

Mailing address

243 Klevin St
Anchorage, AK 99508-2149
Phone (907) 644-0627

National Provider Directory

National Provider Directory

Locations

243 Klevin St
Anchorage, AK 99508
Phone (907) 644-0627

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1433894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433894400000",
    "number": "1225419740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 KLEVIN ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082149",
            "telephone_number": "907-644-0627",
            "fax_number": "907-868-2589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 KLEVIN ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082149",
            "telephone_number": "907-644-0627",
            "fax_number": "907-868-2589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.G.D. ASSISTED LIVING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-10",
        "last_updated": "2015-06-10",
        "status": "A",
        "authorized_official_last_name": "DUGGAN",
        "authorized_official_first_name": "MERLINA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/DESIGNEE",
        "authorized_official_telephone_number": "907-644-0627",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "AK",
            "license": "101101",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 10, 2015; 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.