Senior Quality Care, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

000021 Issued in AK

Legal business name

SENIOR QUALITY CARE, INC.

Doing business as

Summer Shades Residential Care

Practice address

319 6TH Ave
Fairbanks, AK 99701-5029

Phone

(907) 456-5909

Fax

(907) 456-2652

NPI assigned

Apr 13, 2007

Organization subpart

No

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

Authorized official

Name

Tod R Witt

Title

President

Phone

(907) 378-2309

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Summer Shades Residential Care Doing business as

Locations

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235353822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 6TH AVE",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015029",
            "telephone_number": "907-456-5909",
            "fax_number": "907-456-2652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 6TH AVE",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015029",
            "telephone_number": "907-456-5909",
            "fax_number": "907-456-2652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR QUALITY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WITT",
        "authorized_official_first_name": "TOD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-378-2309"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "000021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RL8363",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summer Shades Residential Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Assisted Living Facility in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.