Organization Active NPI

Flourishing Assisted Living Home Inc

  • Assisted Living Facility
  • Anchorage, AK
National Provider Identifier
1487127619
Registry record updated Jan 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
FLOURISHING ASSISTED LIVING HOME INC
Practice address
5815 Buckner Dr
Anchorage, AK 99504-2412
Phone
(907) 433-0038
NPI assigned
Jan 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2019

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

Authorized official

Name
Marivic Blancas
Title
Owner/Administrator
Phone
(206) 612-0468

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

5815 Buckner Dr
Anchorage, AK 99504-2412

Mailing address

5815 Buckner Dr
Anchorage, AK 99504-2412
Phone (907) 433-0038

National Provider Directory

National Provider Directory
Tax ID family
Flourishing Assisted Living Home Inc2 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": "1547078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547078400000",
    "number": "1487127619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5815 BUCKNER DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995042412",
            "telephone_number": "907-433-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5815 BUCKNER DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995042412",
            "telephone_number": "907-433-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOURISHING ASSISTED LIVING HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-10",
        "last_updated": "2019-01-10",
        "status": "A",
        "authorized_official_last_name": "BLANCAS",
        "authorized_official_first_name": "MARIVIC",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "206-612-0468"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 10, 2019; 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.