Organization Active NPI

Friendly Empire Assisted Living Home, LLC

  • Adult Care Home Facility
  • Anchorage, AK
National Provider Identifier
1568046183
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
FRIENDLY EMPIRE ASSISTED LIVING HOME, LLC
Practice address
2721 W 69TH Ave
Anchorage, AK 99502-2240
Phone
(907) 229-9522
NPI assigned
May 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Authorized official

Name
Fusi Hola
Title
Owner/Administrator
Phone
(907) 229-9522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

2721 W 69TH Ave
Anchorage, AK 99502-2240

Mailing address

2721 W 69TH Ave
Anchorage, AK 99502-2240
Phone (907) 229-9522

Other names 1

  • Friendly Empire ALH Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620604800000",
    "number": "1568046183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2721 W 69TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995022240",
            "telephone_number": "907-229-9522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2721 W 69TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995022240",
            "telephone_number": "907-229-9522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDLY EMPIRE ASSISTED LIVING HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-10",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A",
        "authorized_official_last_name": "HOLA",
        "authorized_official_first_name": "FUSI",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "907-229-9522"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Friendly Empire ALH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.