Lilac Assisted Living Home LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

LILAC ASSISTED LIVING HOME LLC

Practice address

7521 Wade Cir
Anchorage, AK 99518-2050

Phone

(907) 891-5646

NPI assigned

Feb 26, 2024

Organization subpart

No

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

Authorized official

Name

Diane Angelie Ong, RN

Title

Owner

Phone

(907) 891-5646

Specialties & licenses 3

Addresses

Other names 1

• Lilac Assisted Living Home Doing business as

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1295591568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 W 99TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995154510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7521 WADE CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995182050",
            "telephone_number": "907-891-5646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILAC ASSISTED LIVING HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-24",
        "status": "A",
        "authorized_official_last_name": "ONG",
        "authorized_official_first_name": "DIANE ANGELIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-891-5646",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lilac Assisted Living Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lighthouse Care Coordination
• Lighthouse Home Care
• Lighthouse Home Care 1, LLC
• Annika Ligon
• Melinda Lee Like, CRT
• Maria Lilagan
• Richard Liles, M.D.
• Paul Liley, D.D.S.
• Cynthia Lilleston
• Holly Lilley

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.