NPIMap

Organization Active NPI

Hallelujah Residential LLC

Doing business as Dwelling Place

  • Assisted Living Facility (Mental Illness)
  • Anchorage, AK
National Provider Identifier
1285226266
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
Legal business name
HALLELUJAH RESIDENTIAL LLC
Doing business as
Dwelling Place
Practice address
3609 Richmond Ave
Anchorage, AK 99508-1134
Phone
(907) 743-2996
Fax
(907) 743-2991
NPI assigned
Feb 10, 2021
Last updated
Feb 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Authorized official

Name
Sok Son
Title
Administrator
Phone
(907) 230-2026

Specialties & licenses 1

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

Addresses

Primary practice location

3609 Richmond Ave
Anchorage, AK 99508-1134

Mailing address

PO Box 241465
Anchorage, AK 99524-1465
Phone (907) 743-2996

Other names 1

  • Dwelling Place Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612915200000",
    "number": "1285226266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 241465",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995241465",
            "telephone_number": "907-743-2996",
            "fax_number": "907-743-2991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3609 RICHMOND AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995081134",
            "telephone_number": "907-743-2996",
            "fax_number": "907-743-2991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALLELUJAH RESIDENTIAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A",
        "authorized_official_last_name": "SON",
        "authorized_official_first_name": "SOK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-230-2026"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dwelling Place",
            "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 Feb 10, 2021; 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.