Rockingham Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ROCKINGHAM ASSISTED LIVING LLC

Practice address

2591 Lyvona LN
Anchorage, AK 99502-5452

Phone

(907) 222-1270

Fax

(907) 222-3965

NPI assigned

Feb 4, 2010

Organization subpart

No

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

Authorized official

Name

Robert Potter, LPN

Title

Administrator

Phone

(907) 351-7013

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rockingham Assisted Living II Doing business as

Tax ID family

Fancy Moose Assisted Living2 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.

• Rockingham Assisted Living, LLC

  • Assisted Living Facility
  • Anchorage, AK
  • NPI 1003101825
  NPD tax ID

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265241600000",
    "number": "1578895306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 92375",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995092375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2591 LYVONA LN",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995025452",
            "telephone_number": "907-222-1270",
            "fax_number": "907-222-3965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKINGHAM ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-04",
        "last_updated": "2010-02-04",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-351-7013",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RL9745",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rockingham Assisted Living II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Ann Rocha, LMT
• Brittany Ann Roche
• Peggy Lynn Rochelle, LMT
• Lois A Rockcastle, ANP
• Rockingham Assisted Living Home
• Rockingham Assisted Living, LLC
• Catherine G. Rockwood, RN
• Grant T Roderer, MD
• Laticia Larea Roderick
• Thomas Fraiser Rodger, LPC

• 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 Feb 4, 2010; 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.