Makupa Assisted Living Home
Organization Active NPI Assisted Living Facility (Behavioral Disturbances) · Anchirage, AK
NPI 1497945067 · NPPES record last updated Jul 30, 2007
Key facts
- NPI
- 1497945067
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility (Behavioral Disturbances) 3104A0630X
- License
- 100557 (AK)
- Legal business name
- MAKUPA ASSISTED LIVING HOME
- Practice address
- 8733 Runamark Place
B
Anchirage, AK 99502 - Phone
- (907) 441-7219
- Fax
- (907) 344-2711
- NPI assigned
- Jul 30, 2007
- Organization subpart
- No
Authorized official
- Name
- Mrs. Ida M Poepping, TMA/CNA
- Title
- Administrator/Owner
- Phone
- (907) 441-7219
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility (Behavioral Disturbances) | 3104A0630X | 100557 | AK | Yes |
Addresses
Primary practice location
8733 Runamark Place
B
Anchirage, AK 99502
Mailing address
PO Box 222556
Anchorage, AK 99522-2556
Phone (907) 441-7219
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1 | Medicaid | AK |
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.