Dabakh Assisted Living Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

DABAKH ASSISTED LIVING HOME

Doing business as

Dabakh assisted living home

Practice address

3760 W 74TH Ave
Anchorage, AK 99502-2862

Phone

(907) 350-0061

Fax

(907) 868-1592

NPI assigned

Jul 15, 2020

Last updated

Jul 15, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

DABAKH ASSISTED LIVING HOMEAs reported in NPPES

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

Authorized official

Name

Baba SyNPI 1417389511

Title

Administrator

Phone

(907) 350-0061

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dabakh assisted living home Doing business as

Electronic endpoints 1

Part of

Dabakh Assisted Living Home

Interoperability endpoints

• Direct secure messaging: baba@dabakh.directak.net.directak.net

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Baba Sy

  • Chore Provider
  • Anchorage, AK
  • NPI 1417389511
  NPD Authorized official

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594771200000",
    "number": "1508474610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3760 W 74TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995022862",
            "telephone_number": "907-350-0061",
            "fax_number": "907-868-1592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3760 W 74TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995022862",
            "telephone_number": "907-350-0061",
            "fax_number": "907-868-1592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DABAKH ASSISTED LIVING HOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DABAKH ASSISTED LIVING HOME",
        "enumeration_date": "2020-07-15",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A",
        "authorized_official_last_name": "SY",
        "authorized_official_first_name": "BABA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-350-0061"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1678891",
            "state": "AK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Baba@dabakh.directak.net.directak.net",
            "affiliation": "N",
            "address_1": "3760 W 74th Ave",
            "city": "Anchorage",
            "state": "AK",
            "country_code": "US",
            "postal_code": "995022862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Dabakh assisted living home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vivienne Mary D'Amico, LMT
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• Ryan John Dachowski, DC
• Constance J. Dafoe-Rueb, MS, RD, LD
• Ben Joseph Dahl-Rouzan

• 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 15, 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.