Active NPI
Friendly Empire Assisted Living Home, LLC
- Adult Care Home Facility
- Anchorage, AK
National Provider Identifier
1568046183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.