Angel of Hope Assisted Living Home, LLC

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

Legal business name

ANGEL OF HOPE ASSISTED LIVING HOME, LLC

Practice address

11210 Willene Dr
Anchorage, AK 99516-1386

Phone

(907) 539-2871

NPI assigned

Apr 24, 2024

Organization subpart

No

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

Authorized official

Name

Michelle Hermosura Fabro

Title

Administrator

Phone

(907) 359-2871

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1295581981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11210 WILLENE DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995161386",
            "telephone_number": "907-539-2871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11210 WILLENE DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995161386",
            "telephone_number": "907-539-2871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL OF HOPE ASSISTED LIVING HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "FABRO",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "HERMOSURA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-359-2871"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Disabilities Residential Treatment Facility in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Physical Disabilities Residential Treatment Facility in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.