Organization Active NPI

Nightingale Assisted Living Home LLC

  • Assisted Living Facility
  • Anchorage, AK
National Provider Identifier
1427253137
Registry record updated Nov 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
100598 Issued in AK
Legal business name
NIGHTINGALE ASSISTED LIVING HOME LLC
Practice address
1572 N Heather Meadows Loop
Anchorage, AK 99507-3866
Phone
(907) 644-8046
NPI assigned
Jun 21, 2007
Last updated
Nov 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2008

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

Authorized official

Name
Myla M Sculley
Title
Administrator
Phone
(907) 644-8046

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 100598 AK Primary

Addresses

Primary practice location

1572 N Heather Meadows Loop
Anchorage, AK 99507-3866

Mailing address

1503 N Heather Meadows Loop
Anchorage, AK 99507-3866
Phone (907) 644-8046

Other identifiers 1

IdentifierTypeStateIssuer
RL4087MedicaidAK

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226966400000",
    "number": "1427253137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 N HEATHER MEADOWS LOOP",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995073866",
            "telephone_number": "907-644-8046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1572 N HEATHER MEADOWS LOOP",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995073866",
            "telephone_number": "907-644-8046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIGHTINGALE ASSISTED LIVING HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2008-11-18",
        "status": "A",
        "authorized_official_last_name": "SCULLEY",
        "authorized_official_first_name": "MYLA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-644-8046"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "100598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RL4087",
            "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 Nov 18, 2008; 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.