NPIMap

Organization Active NPI

Division of Alaskan Pioneer Homes

  • Assisted Living Facility
  • Fairbanks, AK
National Provider Identifier
1497873087
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
DIVISION OF ALASKAN PIONEER HOMES
Practice address
2221 Eagan Ave
Fairbanks, AK 99701-5725
Phone
(907) 465-5737
Fax
(907) 465-4108
NPI assigned
Mar 26, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. David D. Cote Jr.
Title
Project Coordinator
Phone
(907) 465-5737

Corporate family (same tax ID) 18

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

National Provider Directory

Tax ID family
Wasilla Public Health N (19 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

NPPES NPI Registry

Primary practice location

2221 Eagan Ave
Fairbanks, AK 99701-5725

Mailing address

P.O. Box 110690
Juneau, AK 99811-0690
Phone (907) 465-5737

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
RL11852MedicaidAK

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497873087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 110690",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998110690",
            "telephone_number": "907-465-5737",
            "fax_number": "907-465-4108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 EAGAN AVE",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015725",
            "telephone_number": "907-465-5737",
            "fax_number": "907-465-4108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVISION OF ALASKAN PIONEER HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COTE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PROJECT COORDINATOR",
        "authorized_official_telephone_number": "907-465-5737",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RL11852",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.