Organization Active NPI

Jade Assisted Living Home

  • Assisted Living Facility
  • Anchorage, AK
National Provider Identifier
1295174852
Registry record updated Jun 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
100905 Issued in AK
Legal business name
JADE ASSISTED LIVING HOME
Practice address
9280 Aphrodite Dr
Anchorage, AK 99515-1498
Phone
(907) 339-0176
NPI assigned
Jun 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2013

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

Authorized official

Name
Eloisa AguilarNPI 1346525003
Title
Administrator
Phone
(907) 952-2697

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 100905 AK Primary

Addresses

Primary practice location

9280 Aphrodite Dr
Anchorage, AK 99515-1498

Mailing address

9280 Aphrodite Dr
Anchorage, AK 99515-1498
Phone (907) 339-0176

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": "1371427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371427200000",
    "number": "1295174852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9280 APHRODITE DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995151498",
            "telephone_number": "907-339-0176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9280 APHRODITE DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995151498",
            "telephone_number": "907-339-0176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JADE ASSISTED LIVING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-17",
        "last_updated": "2013-06-17",
        "status": "A",
        "authorized_official_last_name": "AGUILAR",
        "authorized_official_first_name": "ELOISA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-952-2697"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "100905",
            "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 Jun 17, 2013; 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.