Organization Active NPI

Nana's House

Doing business as Nana's House Assisted Living Home

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Anchorage, AK
National Provider Identifier
1295260404
Registry record updated Apr 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
101185 Issued in AK
Legal business name
NANA'S HOUSE
Doing business as
Nana's House Assisted Living Home
Practice address
8440 Blackberry St
Anchorage, AK 99502-5327
Phone
(907) 360-2126
NPI assigned
Apr 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2017

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

Authorized official

Name
Ms. Letitia WycheNPI 1386185551
Title
Owner
Phone
(907) 360-2126

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
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 101185 AK Primary

Addresses

Primary practice location

8440 Blackberry St
Anchorage, AK 99502-5327

Mailing address

7349 Branche Dr
Anchorage, AK 99518-2573
Phone (907) 360-2126

Other names 1

  • Nana's House Assisted Living Home Doing business as

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": "1493078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493078400000",
    "number": "1295260404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7349 BRANCHE DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995182573",
            "telephone_number": "907-360-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8440 BLACKBERRY ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995025327",
            "telephone_number": "907-360-2126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANA'S HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-25",
        "last_updated": "2017-04-25",
        "status": "A",
        "authorized_official_last_name": "WYCHE",
        "authorized_official_first_name": "LETITIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-360-2126",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "AK",
            "license": "101185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nana's House Assisted Living Home",
            "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 Apr 25, 2017; 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.