Anchorage Alternative Living LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

ANCHORAGE ALTERNATIVE LIVING LLC

Practice address

504 Jumping Frog LN
Knightdale, NC 27545-7356

Phone

(919) 332-2032

NPI assigned

Feb 1, 2021

Last updated

Jul 27, 2021By 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

Mrs. Valeisha Richelle Harrison-Deans, MBA

Title

Owner/Executive Chief Administrator

Phone

(919) 332-2032

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627344000000",
    "number": "1568053601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 JUMPING FROG LN",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275457356",
            "telephone_number": "919-332-2032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 JUMPING FROG LN",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275457356",
            "telephone_number": "919-332-2032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCHORAGE ALTERNATIVE LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-01",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A",
        "authorized_official_last_name": "HARRISON-DEANS",
        "authorized_official_first_name": "VALEISHA",
        "authorized_official_middle_name": "RICHELLE",
        "authorized_official_title_or_position": "OWNER/EXECUTIVE CHIEF ADMINISTRATOR",
        "authorized_official_telephone_number": "919-332-2032",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.