Our Home Assisted Living Home,LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

942880 Issued in AK

Legal business name

OUR HOME ASSISTED LIVING HOME,LLC

Practice address

9330 Aphrodite Dr
Anchorage, AK 99515-1493

Phone

(907) 317-6005

NPI assigned

Aug 10, 2010

Organization subpart

No

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

Authorized official

Name

Marichelle Rodriguez Pagtakhan

Title

Administrator

Phone

(907) 317-6005

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281398400000",
    "number": "1609181197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9330 APHRODITE DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995151493",
            "telephone_number": "907-317-6005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 APHRODITE DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995151493",
            "telephone_number": "907-317-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR HOME ASSISTED LIVING HOME,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-10",
        "last_updated": "2010-08-10",
        "status": "A",
        "authorized_official_last_name": "PAGTAKHAN",
        "authorized_official_first_name": "MARICHELLE",
        "authorized_official_middle_name": "RODRIGUEZ",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-317-6005"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "942880",
            "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 Aug 10, 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.