Caring Bridges Assisted Living Home Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

000200 Issued in AK

Legal business name

CARING BRIDGES ASSISTED LIVING HOME INC

Practice address

107 7TH Ave Unit1
Fairbanks, AK 99701-5063

Phone

(907) 322-6302

Fax

(907) 479-3319

NPI assigned

May 9, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Sandra L Doyle, LPN

Title

Owner Administrator

Phone

(907) 479-9757

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356555239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 7TH AVE UNIT 1",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015063",
            "telephone_number": "907-322-6302",
            "fax_number": "907-479-3319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 7TH AVE UNIT1",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015063",
            "telephone_number": "907-322-6302",
            "fax_number": "907-479-3319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARING BRIDGES ASSISTED LIVING HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOYLE",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER ADMINISTRATOR",
        "authorized_official_telephone_number": "907-479-9757",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "000200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HC86661",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RL86661",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Fairbanks, AK
• Providers in Fairbanks, 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.