Divine Mercy Alh

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

100397 Issued in AK

Legal business name

DIVINE MERCY ALH

Practice address

8100 Peck Ave
Anchorage, AK 99504-1422

Phone

(907) 868-8608

Fax

(907) 868-8608

NPI assigned

Apr 10, 2007

Organization subpart

No

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

Authorized official

Name

Eliezer Pentecostes

Title

Administrator

Phone

(907) 868-8608

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1336262542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 PECK AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995041422",
            "telephone_number": "907-868-8608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 PECK AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995041422",
            "telephone_number": "907-868-8608",
            "fax_number": "907-868-8608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE MERCY ALH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "PENTECOSTES",
        "authorized_official_first_name": "ELIEZER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-868-8608"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "100397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RL2598",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Divine Grace Alh
• Divine Hands Assisted Living Home
• Divine Haven Assisted Living Home
• Divine Hope Assisted Living Home. LLC
• Divine Love Assisted Living Home LLC
• Divine Mercy Alh, LLC
• Divine Mercy II Alh, LLC
• Divine Promise
• Division of Alaskan Pioneer Homes
• Connor Scully Dixon, MD

• Assisted Living Facility in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Assisted Living Facility in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.