Granny's Log Cabin Care Center

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

100785 Issued in AK

Legal business name

GRANNY'S LOG CABIN CARE CENTER

Practice address

3041 N Cambay CT
Wasilla, AK 99654-1271

Phone

(907) 631-3261

Fax

(907) 357-5813

NPI assigned

Jan 4, 2010

Last updated

Jan 4, 2010By 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

Ms. Sherry Ann Butters

Title

Owner

Phone

(907) 357-8800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1262563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262563200000",
    "number": "1609106251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "647 N TIFFANY DR",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996458410",
            "telephone_number": "907-357-8800",
            "fax_number": "907-357-5813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3041 N CAMBAY CT",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996541271",
            "telephone_number": "907-631-3261",
            "fax_number": "907-357-5813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANNY'S LOG CABIN CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-04",
        "last_updated": "2010-01-04",
        "status": "A",
        "authorized_official_last_name": "BUTTERS",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-357-8800",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "100785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Michele Gould
• Omaria Maria Gould
• Viktor I Goy
• Ashley Suzanne Granath, DPT
• Granny's Downhome Care Center
• Grasman-Montgomery Enterprises, Inc (Authentic Life Chiropractic)
• Lisa K. Grasman, D.C.
• Mailena Summer Grasmick
• Mary S Grasmick, LCSW
• Margaret Grasse, RN

• Assisted Living Facility in Wasilla, AK
• Providers in Wasilla, 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 Jan 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.