Divine Mercy II Alh, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

100892 Issued in AK

Legal business name

DIVINE MERCY II ALH, LLC

Practice address

417 E 11TH Ave Apt 5
Anchorage, AK 99501-4560

Phone

(907) 770-9148

Fax

(907) 770-9149

NPI assigned

Apr 14, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Eliezer Limun Pentecostes

Title

Owner/Administrator

Phone

(907) 868-8608

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Divine Mercy Alh LLC2 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.

• Divine Mercy Alh, LLC

  • Respite Care
  • Anchorage, AK
  • NPI 1457473993
  NPD tax ID

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

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316736000000",
    "number": "1528358207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3554 NEWCOMB DRIVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084852",
            "telephone_number": "907-868-8608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 E 11TH AVE APT 5",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995014560",
            "telephone_number": "907-770-9148",
            "fax_number": "907-770-9149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE MERCY II ALH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-14",
        "last_updated": "2011-09-23",
        "status": "A",
        "authorized_official_last_name": "PENTECOSTES",
        "authorized_official_first_name": "ELIEZER",
        "authorized_official_middle_name": "LIMUN",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "907-868-8608",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "100892",
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "AK",
            "license": "100892",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528358207",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Divine Haven Assisted Living Home
• Divine Hope Assisted Living Home. LLC
• Divine Love Assisted Living Home LLC
• Divine Mercy Alh
• Divine Mercy Alh, LLC
• Divine Promise
• Division of Alaskan Pioneer Homes
• Connor Scully Dixon, MD
• Noranna Dixon, OTR/L
• Pyper Tenney Dixon, RN

• 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 Sep 23, 2011; 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.