Organization Active NPI

Green Hills Assisted Living Home, LLC

  • Assisted Living Facility
  • Palmer, AK
National Provider Identifier
1235864877
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
GREEN HILLS ASSISTED LIVING HOME, LLC
Practice address
1470 E Esty Dr
Palmer, AK 99645-9555
Phone
(907) 745-6552
NPI assigned
Jul 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Authorized official

Name
Mrs. Narcisa Adolfo Flormata
Title
Administrator
Phone
(907) 841-4281

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1470 E Esty Dr
Palmer, AK 99645-9555

Mailing address

1470 E Esty Dr
Palmer, AK 99645-9555
Phone (907) 745-6552

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658102400000",
    "number": "1235864877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1470 E ESTY DR",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996459555",
            "telephone_number": "907-745-6552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 E ESTY DR",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996459555",
            "telephone_number": "907-745-6552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN HILLS ASSISTED LIVING HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A",
        "authorized_official_last_name": "FLORMATA",
        "authorized_official_first_name": "NARCISA",
        "authorized_official_middle_name": "ADOLFO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-841-4281",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmer, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.