Organization Active NPI

Flamingo House

  • Assisted Living Facility (Behavioral Disturbances)
  • Anchorage, AK
National Provider Identifier
1457474561
Registry record updated Mar 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X
License
100377 Issued in AK
Legal business name
FLAMINGO HOUSE
Practice address
3705 Arctic Blvd # 1211
7711 Arlene Street #a
Anchorage, AK 99503-5774
Phone
(907) 222-6899
Fax
(907) 222-6899
NPI assigned
Apr 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2009

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

Authorized official

Name
Mrs. Margaret Valerie Williams, PCA
Title
Administrator
Phone
(907) 222-6899

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X
Assisted Living Facility (Behavioral Disturbances) 3104A0630X 100377 AK Primary
Non-emergency Medical Transport (VAN) 343900000X 100377 AK

Addresses

Primary practice location

3705 Arctic Blvd # 1211
7711 Arlene Street #a
Anchorage, AK 99503-5774

Mailing address

3705 Arctic Blvd Anchorage Alaska 99503
8611 Flamingo Drive
Anchorage, AK 99502
Phone (907) 222-1675

Other identifiers 2

IdentifierTypeStateIssuer
RL97681MedicaidAK
HC97681MedicaidAK

Other names 1

  • Margaret Williams Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Eye to Eye Alh2 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": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238112000000",
    "number": "1457474561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 ARCTIC BLVD ANCHORAGE ALASKA 99503",
            "address_2": "8611 FLAMINGO DRIVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99502",
            "telephone_number": "907-222-1675",
            "fax_number": "907-222-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 ARCTIC BLVD # 1211",
            "address_2": "7711 ARLENE STREET #A",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995035774",
            "telephone_number": "907-222-6899",
            "fax_number": "907-222-6899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLAMINGO HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2009-03-27",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "VALERIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-222-6899",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PCA"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "AK",
            "license": "100377",
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "AK",
            "license": "100377",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RL97681",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HC97681",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Margaret Williams",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 27, 2009; 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.