Ark of Emmanuel Assisting Living Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

908797 Issued in AK

Legal business name

ARK OF EMMANUEL ASSISTING LIVING HOME

Practice address

5454 Emmanuel Ave
Anchorage, AK 99508-4934

Phone

(907) 677-9289

Fax

(907) 677-9289

NPI assigned

Jul 2, 2008

Last updated

Jul 2, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Randy B Pentecostes, PT

Title

Admnistrator

Phone

(907) 677-9289

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1508029240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5454 EMMANUEL AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084934",
            "telephone_number": "907-677-9289",
            "fax_number": "907-677-9289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5454 EMMANUEL AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084934",
            "telephone_number": "907-677-9289",
            "fax_number": "907-677-9289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARK OF EMMANUEL ASSISTING LIVING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "PENTECOSTES",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ADMNISTRATOR",
        "authorized_official_telephone_number": "907-677-9289",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "908797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Arendash Jr., RN
• Arete Family Care LLC
• Ariana Alh, LLC
• Arise Ak LLC
• Ark of Caring Living Assisted Home
• Heather Anne Arkell, LMP
• Kelly K Arkell, FNP
• Michael J Arlint
• Armen Roupenian MD Facs PC
• Jennifer Armentrout, OTR/L

• Assisted Living Facility in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Assisted Living Facility in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.