Benedict Assisted Living Home, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

1039375 Issued in AK

Legal business name

BENEDICT ASSISTED LIVING HOME, LLC

Practice address

3511 Alamosa Dr
Anchorage, AK 99502-5222

Phone

(907) 350-0978

Fax

(907) 865-2464

NPI assigned

Jan 5, 2017

Last updated

Jan 5, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Maria Liza Naranjo Cadavos

Title

Owner/Designee

Phone

(907) 350-0978

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483574400000",
    "number": "1366987000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3511 ALAMOSA DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995025222",
            "telephone_number": "907-350-0978",
            "fax_number": "907-865-2464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3511 ALAMOSA DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995025222",
            "telephone_number": "907-350-0978",
            "fax_number": "907-865-2464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENEDICT ASSISTED LIVING HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-01-05",
        "status": "A",
        "authorized_official_last_name": "CADAVOS",
        "authorized_official_first_name": "MARIA LIZA",
        "authorized_official_middle_name": "NARANJO",
        "authorized_official_title_or_position": "OWNER/DESIGNEE",
        "authorized_official_telephone_number": "907-350-0978",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "AK",
            "license": "1039375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Thomas Richard Bender, M.D.
• Erin Marie Bendle, BSW
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• Crecencio Benitez Esquivel
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• Benjamin Kennah PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.