Active NPI
Oasis Assisted Living Home LLC
- Assisted Living Facility
- Anchorage, AK
National Provider Identifier
1417448036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 1051333
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101265 | Medicaid | AK |
National Provider Directory
National Provider DirectoryLocations
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.