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Organization Active NPI

Mamas IV Assisted Living Home LLC

  • Assisted Living Facility
  • Anchorage, AK
National Provider Identifier
1619099173
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
275 Issued in AK
Legal business name
MAMAS IV ASSISTED LIVING HOME LLC
Practice address
9270 Aphrodite Dr
Anchorage, AK 99515-1498
Phone
(907) 301-0111
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Amy Oney
Title
Administrator
Phone
(907) 301-0111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 275 AK Primary

Addresses

Primary practice location

9270 Aphrodite Dr
Anchorage, AK 99515-1498

Mailing address

PO Box 112676
Anchorage, AK 99511-2676

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619099173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 112676",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995112676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9270 APHRODITE DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995151498",
            "telephone_number": "907-301-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAMAS IV ASSISTED LIVING HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ONEY",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-301-0111"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.