Twin Hearts Ale

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

License

100593 Issued in AK

Legal business name

TWIN HEARTS ALE

Practice address

1111 Boston St
Anchorage, AK 99504-2015

Phone

(907) 339-9328

Fax

(907) 770-6019

NPI assigned

Jul 19, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Iluminada Puno Flores

Title

Administrator

Phone

(907) 339-9328

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1386844355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 BOSTON STREET",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995042015",
            "telephone_number": "907-339-9328",
            "fax_number": "907-770-6019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 BOSTON ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995042015",
            "telephone_number": "907-339-9328",
            "fax_number": "907-770-6019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN HEARTS ALE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "ILUMINADA",
        "authorized_official_middle_name": "PUNO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-339-9328",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "AK",
            "license": "100593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vaimaila Maave Tuuaga
• Adrienne H Tveit, PHARM.D.
• Tina Tweedley, PHARMD
• Jacquelynn Marie Twienr
• Ebonie Monique Twillie, M.A.
• Twin Hearts Ale II Inc.
• Leah Twohy, PHARMD
• Noel Tyler
• Tamara Dawn Tyler, RN
• April Annette Tynan, VOC REHAB SPECIALIST

• Physical Disabilities Residential Treatment Facility in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Physical Disabilities Residential Treatment Facility in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.