NPIMap

Organization Active NPI

Bethel Assisted Living Home

  • Assisted Living Facility
  • Anchorage, AK
National Provider Identifier
1245748581
Registry record updated Jan 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
BETHEL ASSISTED LIVING HOME
Practice address
8401 Berry Patch Dr
Anchorage, AK 99502-7265
Phone
(907) 222-1028
Fax
(907) 222-1028
NPI assigned
Jan 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2018

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

Authorized official

Name
Anthony Viloria Jimenez, OWNERNPI 1104360452
Title
Administrator
Phone
(907) 222-1028

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 310400000X Primary

Addresses

Primary practice location

8401 Berry Patch Dr
Anchorage, AK 99502-7265

Mailing address

8401 Berry Patch Dr
Anchorage, AK 99502-7265
Phone (907) 222-1028

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.

NPI Registry JSON

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

{
    "created_epoch": "1516579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516579200000",
    "number": "1245748581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 BERRY PATCH DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995027265",
            "telephone_number": "907-222-1028",
            "fax_number": "907-222-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 BERRY PATCH DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995027265",
            "telephone_number": "907-222-1028",
            "fax_number": "907-222-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHEL ASSISTED LIVING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-22",
        "last_updated": "2018-01-22",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "VILORIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-222-1028",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "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 Jan 22, 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.