CJW Healthcare

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CJW HEALTHCARE

Doing business as

CJW HEALTHCARE LLC

Practice address

343 Egavik Dr
Anchorage, AK 99503-7334

Phone

(907) 644-3044

NPI assigned

Dec 15, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Willie Villar Zamora Sr., N/A

Title

Owner/Operator

Phone

(079) 036-1699

Specialties & licenses 1

Addresses

Other names 1

• CJW HEALTHCARE LLC Doing business as

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

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607990400000",
    "number": "1285220145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 W 28TH CT",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995171620",
            "telephone_number": "907-644-3044",
            "fax_number": "907-644-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 EGAVIK DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995037334",
            "telephone_number": "907-644-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CJW HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-15",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A",
        "authorized_official_last_name": "ZAMORA",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_middle_name": "VILLAR",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "079-036-1699",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "N/A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CJW HEALTHCARE LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Assisted Living Facility in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.