Organization Active NPI

Marlow Manor Assisted Living

  • Assisted Living Facility
  • Anchorage, AK
National Provider Identifier
1265576482
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
000139 Issued in AK
Legal business name
MARLOW MANOR ASSISTED LIVING
Practice address
2030 Muldoon Rd
Anchorage, AK 99504-3611
Phone
(907) 338-8708
Fax
(907) 338-8627
NPI assigned
Feb 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Patrick C. O'Toole, AGENT
Title
Agent
Phone
(503) 231-4922

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 000139 AK Primary

Addresses

Primary practice location

2030 Muldoon Rd
Anchorage, AK 99504-3611

Mailing address

2030 Muldoon Rd
Anchorage, AK 99504-3611
Phone (907) 338-8708

Other identifiers 1

IdentifierTypeStateIssuer
RL7256MedicaidAK

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265576482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 MULDOON RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995043611",
            "telephone_number": "907-338-8708",
            "fax_number": "907-338-8627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 MULDOON RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995043611",
            "telephone_number": "907-338-8708",
            "fax_number": "907-338-8627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLOW MANOR ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "O'TOOLE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "503-231-4922",
        "authorized_official_credential": "AGENT"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "000139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RL7256",
            "state": "AK"
        }
    ],
    "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 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.