Keen Eye Care Assisted Living Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

KEEN EYE CARE ASSISTED LIVING INC

Practice address

382 S Kobuk St
Soldotna, AK 99669-7831

Phone

(907) 394-4200

NPI assigned

Sep 25, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Cristina P Johnson

Title

Care Coordinator /Administrator

Phone

(907) 394-4200

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cristina P Chapman, OWNER/ADMINISTRATOR

  • Case Manager/Care Coordinator
  • Wasilla, AK
  • NPI 1245422336
  NPD (past)

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

{
    "created_epoch": "1348531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381363200000",
    "number": "1609127166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 S KOBUK ST",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697831",
            "telephone_number": "907-394-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "382 S KOBUK ST",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697831",
            "telephone_number": "907-394-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEEN EYE CARE ASSISTED LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-25",
        "last_updated": "2013-10-10",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CRISTINA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CARE COORDINATOR /ADMINISTRATOR",
        "authorized_official_telephone_number": "907-394-4200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1030303",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Edward Kasukonis, Jr., D.O.
• Katy Sheridan MD PC
• Hannah Bryn Katzenberger
• Michelle Kearby, OTR/L
• Kristen Keeley, MD
• Kristen Nicole Keeton, OTR/L
• William Joseph Kelley, MD
• Brandon John Kellum, DISPENSING OPTICIAN
• Kirsten Kempf, SLPA
• Kenai Peninsula Anesthesia, LLC

• All providers in Soldotna, AK
• Assisted Living Facility in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2013; 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.