NPIMap

Organization Active NPI

Keiki Home 1

  • Assisted Living Facility
  • Anchorage, AK
National Provider Identifier
1376665901
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
100225 Issued in AK
Legal business name
KEIKI HOME 1
Practice address
2649 Carroll PL # a
Anchorage, AK 99508-3821
Phone
(907) 929-0304
Fax
(907) 929-3494
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Rene a Francisco, RN
Title
Director
Phone
(907) 830-4046

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 100225 AK Primary

Addresses

Primary practice location

2649 Carroll PL # a
Anchorage, AK 99508-3821

Mailing address

2649 Carroll PL # a
Anchorage, AK 99508-3821
Phone (907) 929-0304

Other identifiers 1

IdentifierTypeStateIssuer
RL 07241MedicaidAK

National Provider Directory

National Provider Directory
Tax ID family
Good Faith Home Health Services5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1376665901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2649 CARROLL PL # A",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995083821",
            "telephone_number": "907-929-0304",
            "fax_number": "907-929-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2649 CARROLL PL # A",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995083821",
            "telephone_number": "907-929-0304",
            "fax_number": "907-929-3494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEIKI HOME 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "FRANCISCO",
        "authorized_official_first_name": "RENE A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "907-830-4046",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "100225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RL 07241",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.