Organization Active NPI

Precious Memory Assisted Living LLC

Doing business as Precious Memory Assisted Living Home

  • Assisted Living Facility
  • Anchorage, AK
National Provider Identifier
1235942822
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
PRECIOUS MEMORY ASSISTED LIVING LLC
Doing business as
Precious Memory Assisted Living Home
Practice address
12143 Rolling Meadow Cir
Anchorage, AK 99516-2066
Phone
(907) 313-9624
NPI assigned
Jan 29, 2025
Last updated
Jan 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Authorized official

Name
Leo ChenNPI 1871470575
Title
Program Administrator
Phone
(907) 313-9624

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary
Assisted Living Facility (Mental Illness) 3104A0625X NU

Addresses

Primary practice location

12143 Rolling Meadow Cir
Anchorage, AK 99516-2066

Mailing address

12143 Rolling Meadow Cir
Anchorage, AK 99516-2066
Phone (907) 313-9624

Other names 1

  • PRECIOUS MEMORY ASSISTED LIVING HOME Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1738108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1235942822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12143 ROLLING MEADOW CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995162066",
            "telephone_number": "907-313-9624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12143 ROLLING MEADOW CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995162066",
            "telephone_number": "907-313-9624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECIOUS MEMORY ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-29",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "LEO",
        "authorized_official_title_or_position": "PROGRAM ADMINISTRATOR",
        "authorized_official_telephone_number": "907-313-9624"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRECIOUS MEMORY ASSISTED LIVING HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 29, 2025; 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.