NPIMap

Organization Active NPI

Our Family Assisted Living Home

  • Assisted Living Facility
  • Anchorage, AK
National Provider Identifier
1467979591
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
101195 Issued in AK
Legal business name
OUR FAMILY ASSISTED LIVING HOME
Practice address
11245 Via Balboa
Anchorage, AK 99515-2910
Phone
(907) 231-7296
Fax
(907) 336-7296
NPI assigned
Aug 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Demilyn Jennings SayavongNPI 1255856639
Title
Owner
Phone
(907) 231-7296

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 101195 AK Primary

Addresses

Primary practice location

11245 Via Balboa
Anchorage, AK 99515-2910

Mailing address

11245 Via Balboa
Anchorage, AK 99515-2910
Phone (907) 231-7296

Other names 1

  • Demilyn Jennings Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1467979591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11245 VIA BALBOA",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995152910",
            "telephone_number": "907-231-7296",
            "fax_number": "907-336-7296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11245 VIA BALBOA",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995152910",
            "telephone_number": "907-231-7296",
            "fax_number": "907-336-7296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR FAMILY ASSISTED LIVING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SAYAVONG",
        "authorized_official_first_name": "DEMILYN",
        "authorized_official_middle_name": "JENNINGS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-231-7296"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "101195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Demilyn Jennings",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jul 21, 2022; 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.