Organization Active NPI

Oasis Assisted Living Home LLC

  • Assisted Living Facility
  • Anchorage, AK
National Provider Identifier
1417448036
Registry record updated May 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
1051333 Issued in AK
Legal business name
OASIS ASSISTED LIVING HOME LLC
Practice address
1701 Cleveland Ave
Anchorage, AK 99517-2689
Phone
(907) 222-1205
NPI assigned
May 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2018

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

Authorized official

Name
Marissa Vallangca
Title
Resident Manager
Phone
(907) 222-1205

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 1051333 AK Primary

Addresses

Primary practice location

1701 Cleveland Ave
Anchorage, AK 99517-2689

Mailing address

1701 Cleveland Ave
Anchorage, AK 99517-2689
Phone (907) 222-1205

Other identifiers 1

IdentifierTypeStateIssuer
101265MedicaidAK

National Provider Directory

National Provider Directory

Locations

1701 Cleveland Ave
Anchorage, AK 99517
Phone (907) 222-1205

NPI Registry JSON

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526860800000",
    "number": "1417448036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 CLEVELAND AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995172689",
            "telephone_number": "907-222-1205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 CLEVELAND AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995172689",
            "telephone_number": "907-222-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS ASSISTED LIVING HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-21",
        "last_updated": "2018-05-21",
        "status": "A",
        "authorized_official_last_name": "VALLANGCA",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_title_or_position": "RESIDENT MANAGER",
        "authorized_official_telephone_number": "907-222-1205"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "1051333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101265",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; 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.