Zayda Pentecostes

Individual provider Active NPI Assisted Living Facility · Anchorage, AK

NPI 1407185259 · NPPES record last updated Dec 8, 2009

Key facts

NPI
1407185259
Entity type
Individual (NPI type 1)
Primary specialty
Assisted Living Facility 310400000X
Practice address
310 Bunnell St
Anchorage, AK 99508-2323
Phone
(907) 868-3924
Fax
(907) 337-5296
NPI assigned
Dec 8, 2009
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Kamalani Assisted Living Home Assisted Living Facility Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Yes

Addresses

Primary practice location

310 Bunnell St
Anchorage, AK 99508-2323

Mailing address

310 Bunnell St
Anchorage, AK 99508-2323
Phone (907) 868-3924

Other providers in Anchorage, AK

All providers in Anchorage, AK · Assisted Living Facility in Alaska

Sources for this page

Verify at the official NPI Registry.