Malupo'S Haven Assisted Living Home LLC

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

License

101135 Issued in AK

Legal business name

MALUPO'S HAVEN ASSISTED LIVING HOME LLC

Practice address

7221 Kiska Cir
Anchorage, AK 99504-3408

Phone

(907) 222-0389

Fax

(907) 222-0736

NPI assigned

May 18, 2016

Organization subpart

No

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

Authorized official

Name

Shantel May Bunting

Title

Owner/Administrator

Phone

(907) 602-8464

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463529600000",
    "number": "1417304528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7221 KISKA CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995043408",
            "telephone_number": "907-222-0389",
            "fax_number": "907-222-0736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7221 KISKA CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995043408",
            "telephone_number": "907-222-0389",
            "fax_number": "907-222-0736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALUPO'S HAVEN ASSISTED LIVING HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-18",
        "last_updated": "2016-05-18",
        "status": "A",
        "authorized_official_last_name": "BUNTING",
        "authorized_official_first_name": "SHANTEL",
        "authorized_official_middle_name": "MAY",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "907-602-8464"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "AK",
            "license": "101135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Michael Maloney, D.M.D.
• Jacob Malouf
• Matthew Malouf, P.A.C.
• Monika Maltese, PHARM.D.
• Fia Malua
• Nicole Maluto
• Mark Andrew Malzahn, P.A.-C.
• Mama'S Care LLC
• Mamas Assisted Living Home LLC
• Mamas II Assisted Living Home LLC

• Assisted Living Facility (Behavioral Disturbances) in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Assisted Living Facility (Behavioral Disturbances) in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; 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.