NPIMap

Organization Active NPI

Divine Mercy Alh, LLC

  • Respite Care
  • Anchorage, AK
National Provider Identifier
1457473993
Registry record updated Sep 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
License
100397 Issued in AK
Legal business name
DIVINE MERCY ALH, LLC
Practice address
3554 Newcomb Dr
Anchorage, AK 99508-4852
Phone
(907) 868-8608
Fax
(907) 868-8608
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2011

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

Authorized official

Name
Eliezer Pentecostes
Title
Administrator
Phone
(907) 868-8608

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X 100397 AK Primary

Addresses

Primary practice location

3554 Newcomb Dr
Anchorage, AK 99508-4852

Mailing address

3554 Newcomb Dr
Anchorage, AK 99508-4852
Phone (907) 868-8608

Other identifiers 1

IdentifierTypeStateIssuer
HC2598MedicaidAK

National Provider Directory

National Provider Directory
Tax ID family
Divine Mercy Alh LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316736000000",
    "number": "1457473993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3554 NEWCOMB DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084852",
            "telephone_number": "907-868-8608",
            "fax_number": "907-868-8608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3554 NEWCOMB DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084852",
            "telephone_number": "907-868-8608",
            "fax_number": "907-868-8608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE MERCY ALH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2011-09-23",
        "status": "A",
        "authorized_official_last_name": "PENTECOSTES",
        "authorized_official_first_name": "ELIEZER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-868-8608"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "AK",
            "license": "100397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HC2598",
            "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 Sep 23, 2011; 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.