Genevieve Assisted Living Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GENEVIEVE ASSISTED LIVING HOME

Practice address

1922 Logan St
Anchorage, AK 99508-3281

Phone

(907) 222-1980

Fax

(907) 222-2419

NPI assigned

Mar 24, 2007

Organization subpart

No

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

Authorized official

Name

Evelyn G. Mina, R.N.

Title

Administrator

Phone

(907) 230-0876

Specialties & licenses 1

Addresses

Other identifiers 5

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

{
    "created_epoch": "1174694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346367265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3627 RANDOLPH ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084526",
            "telephone_number": "907-561-7529",
            "fax_number": "907-222-2419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1922 LOGAN ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995083281",
            "telephone_number": "907-222-1980",
            "fax_number": "907-222-2419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENEVIEVE ASSISTED LIVING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MINA",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-230-0876",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RL3276",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RL3627",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HC3627",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RL36271",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HC36271",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "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 Aug 22, 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.