NPIMap

Organization Active NPI

St Lawrence Assisted Living Inc

  • Health Service Clinic/Center
  • Anchorage, AK
National Provider Identifier
1265619837
Registry record updated Jan 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
167 Issued in AK
Legal business name
ST LAWRENCE ASSISTED LIVING INC
Practice address
9221 Aphrodite Dr
Anchorage, AK 99515-1498
Phone
(907) 336-4635
Fax
(907) 245-2782
NPI assigned
Jan 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2008

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

Authorized official

Name
Mrs. Teresita Sergio Corral, C.N.A.
Title
Administrator
Phone
(907) 336-4635

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 167 AK Primary

Addresses

Primary practice location

9221 Aphrodite Dr
Anchorage, AK 99515-1498

Mailing address

10642 Brigantine Cir
Anchorage, AK 99515-2434
Phone (907) 336-4635

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1201305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201305600000",
    "number": "1265619837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10642 BRIGANTINE CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995152434",
            "telephone_number": "907-336-4635",
            "fax_number": "907-245-2782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9221 APHRODITE DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995151498",
            "telephone_number": "907-336-4635",
            "fax_number": "907-245-2782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LAWRENCE ASSISTED LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-26",
        "last_updated": "2008-01-26",
        "status": "A",
        "authorized_official_last_name": "CORRAL",
        "authorized_official_first_name": "TERESITA",
        "authorized_official_middle_name": "SERGIO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-336-4635",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "C.N.A."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "AK",
            "license": "167",
            "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 26, 2008; 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.