Organization Active NPI

Aldergrove Assisted Living

  • Physical Disabilities Residential Treatment Facility
  • Homer, AK
National Provider Identifier
1477802197
Registry record updated Sep 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
Legal business name
ALDERGROVE ASSISTED LIVING
Practice address
41045 Denny Lane
Homer, AK 99603
Phone
(907) 435-3938
NPI assigned
Sep 10, 2012
Last updated
Sep 10, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2012

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

Authorized official

Name
Brian Sherbondy
Title
Administrator/Owner
Phone
(907) 435-3938

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Disabilities Residential Treatment Facility 320700000X NU Primary
Mental Illness Community Based Residential Treatment Facility 320800000X NU
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X NU
Non-emergency Medical Transport (VAN) 343900000X NU

Addresses

Primary practice location

41045 Denny Lane
Homer, AK 99603

Mailing address

PO Box 1954
Homer, AK 99603-1954
Phone (907) 435-3938

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347235200000",
    "number": "1477802197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1954",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996031954",
            "telephone_number": "907-435-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41045 DENNY LANE",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "99603",
            "telephone_number": "907-435-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALDERGROVE ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-10",
        "last_updated": "2012-09-10",
        "status": "A",
        "authorized_official_last_name": "SHERBONDY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "907-435-3938"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homer, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; 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.