Organization Active NPI

Golden Friendship Home for Elderly

  • Health Service Clinic/Center
  • Anchorage, AK
National Provider Identifier
1447640560
Registry record updated Jan 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
100943 Issued in AK
Legal business name
GOLDEN FRIENDSHIP HOME FOR ELDERLY
Practice address
9180 Aphrodite Dr
Anchorage, AK 99515-1499
Phone
(907) 903-8552
Fax
(907) 248-5276
NPI assigned
Jan 27, 2015
Last updated
Jan 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2015

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

Authorized official

Name
Mr. Ronald Corral
Title
Administrator
Phone
(907) 903-9552

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 100943 AK Primary

Addresses

Primary practice location

9180 Aphrodite Dr
Anchorage, AK 99515-1499

Mailing address

9180 Aphrodite Dr
Anchorage, AK 99515-1499
Phone (907) 248-5276

Other identifiers 1

IdentifierTypeStateIssuer
RLXMedicaidAK

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1422316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422316800000",
    "number": "1447640560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9180 APHRODITE DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995151499",
            "telephone_number": "907-248-5276",
            "fax_number": "907-245-2782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9180 APHRODITE DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995151499",
            "telephone_number": "907-903-8552",
            "fax_number": "907-248-5276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN FRIENDSHIP HOME FOR ELDERLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-27",
        "last_updated": "2015-01-27",
        "status": "A",
        "authorized_official_last_name": "CORRAL",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-903-9552",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "AK",
            "license": "100943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RLX",
            "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 Jan 27, 2015; 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.