The Good Shepherd Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

THE GOOD SHEPHERD HOME

Practice address

243 Klevin St
Anchorage, AK 99508-2149

Phone

(907) 644-0627

NPI assigned

Apr 17, 2007

Last updated

Aug 22, 2020By 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

Ms. Epifania Balmaceda, NURSE

Title

Administrator

Phone

(907) 644-0627

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Merlina Ganigan Duggan, OWNER

  • Assisted Living Facility (Mental Illness)
  • Anchorage, AK
  • NPI 1477946366
  NPD (past)

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376769570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 KLEVIN ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082149",
            "telephone_number": "907-644-0627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 KLEVIN ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082149",
            "telephone_number": "907-644-0627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GOOD SHEPHERD HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BALMACEDA",
        "authorized_official_first_name": "EPIFANIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-644-0627",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NURSE"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RL0605",
            "state": "AK"
        }
    ],
    "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.