Snow City Assisted Living Home, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SNOW CITY ASSISTED LIVING HOME, LLC

Practice address

2634 Carroll PL Unit B
Anchorage, AK 99508-3821

Phone

(907) 406-5640

Fax

(907) 339-2344

NPI assigned

Sep 10, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Marinelle Diamante Mantojac

Title

Owner

Phone

(907) 406-5640

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Interoperability endpoints

• Direct secure messaging: admin@snowc.directak.net

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

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599696000000",
    "number": "1336754969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2634 CARROLL PL UNIT B",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995083821",
            "telephone_number": "907-406-5640",
            "fax_number": "907-339-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2634 CARROLL PL UNIT B",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995083821",
            "telephone_number": "907-406-5640",
            "fax_number": "907-339-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNOW CITY ASSISTED LIVING HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-10",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A",
        "authorized_official_last_name": "MANTOJAC",
        "authorized_official_first_name": "MARINELLE",
        "authorized_official_middle_name": "DIAMANTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-406-5640",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@snowc.directak.net",
            "affiliation": "N",
            "endpointDescription": "DSM Inpriva",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2634 Carroll Pl Unit B",
            "city": "Anchorage",
            "state": "AK",
            "country_code": "US",
            "postal_code": "995083821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• 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 Sep 10, 2020; 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.