Alaska Olive Care II, LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

ALASKA OLIVE CARE II, LLC

Practice address

708 N Bunn St
Anchorage, AK 99508-1695

Phone

(907) 433-9189

NPI assigned

Apr 23, 2020

Organization subpart

Yes

Parent organization

ALASKA OLIVE CARE, LLCAs reported in NPPES

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

Authorized official

Name

Lucy Bauer

Title

Owner

Phone

(907) 433-9189

Specialties & licenses 1

Addresses

Other names 1

• Alaska Olive Care II, LLC Doing business as

Electronic endpoints 3

Part of

Alaska Olive Care II LLC

Interoperability endpoints

• Direct secure messaging: admin@smm.directak.net

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

{
    "created_epoch": "1587600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587600000000",
    "number": "1407476161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 1111587",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995111157",
            "telephone_number": "907-433-9189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 N BUNN ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995081695",
            "telephone_number": "907-433-9189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALASKA OLIVE CARE II, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALASKA OLIVE CARE, LLC",
        "enumeration_date": "2020-04-23",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A",
        "authorized_official_last_name": "BAUER",
        "authorized_official_first_name": "LUCY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-433-9189"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@smm.directak.net",
            "affiliation": "N",
            "address_1": "708 N Bunn St",
            "city": "Anchorage",
            "state": "AK",
            "country_code": "US",
            "postal_code": "995081695",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@smm.directak.net",
            "affiliation": "N",
            "address_1": "708 N Bunn St",
            "city": "Anchorage",
            "state": "AK",
            "country_code": "US",
            "postal_code": "995081695",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@smm.directak.net",
            "affiliation": "N",
            "address_1": "708 N Bunn St",
            "city": "Anchorage",
            "state": "AK",
            "country_code": "US",
            "postal_code": "995081695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Alaska Olive Care II, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Care Home Facility in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Adult Care Home Facility in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.