Active NPI
My Daughter and Me Alh, II
- Custodial Care Facility
- Anchorage, AK
National Provider Identifier
1619110004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Custodial Care Facility
- License
- 923799
- Legal business name
- MY DAUGHTER AND ME ALH, II
- Practice address
- 2202 Roosevelt Dr
Anchorage, AK 99517-3040 - Phone
- (907) 677-7767
- Fax
- (907) 677-7767
- NPI assigned
- Apr 14, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Mary Louise Lundy, LPN
- Title
- Administrator
- Phone
- (907) 830-3055
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Custodial Care Facility | 311Z00000X | 923799 | AK | Primary |
| Private Vehicle | 347C00000X | 923799 | AK | |
| Respite Care | 385H00000X | 923799 | AK |
Addresses
Primary practice location
2202 Roosevelt Dr
Anchorage, AK 99517-3040
Mailing address
2202 Roosevelt Dr
Anchorage, AK 99517-3040
Phone (907) 677-7767
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 385H0000X | Medicaid | AK | |
| 347C0000X | Medicaid | AK |
National Provider Directory
National Provider Directory- Tax ID family
- My Daughter and Me Alh 2
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Respite Care
- Anchorage, AK
- NPI 1225271653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239667200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1261353600000",
"number": "1619110004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2202 ROOSEVELT DR",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995173040",
"telephone_number": "907-677-7767",
"fax_number": "907-677-7767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2202 ROOSEVELT DR",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995173040",
"telephone_number": "907-677-7767",
"fax_number": "907-677-7767"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MY DAUGHTER AND ME ALH, II",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-14",
"last_updated": "2009-12-21",
"status": "A",
"authorized_official_last_name": "LUNDY",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "LOUISE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "907-830-3055",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LPN"
},
"taxonomies": [
{
"code": "311Z00000X",
"taxonomy_group": "",
"desc": "Custodial Care Facility",
"state": "AK",
"license": "923799",
"primary": true
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "AK",
"license": "923799",
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "AK",
"license": "923799",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "385H0000X",
"state": "AK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "347C0000X",
"state": "AK"
}
],
"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 Dec 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.