Pals Palace Assistant Living Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

000162 Issued in AK

Legal business name

PALS PALACE ASSISTANT LIVING HOME

Practice address

2220 E 53Rd Ave
Anchorage, AK 99507-1661

Phone

(907) 569-3022

NPI assigned

May 22, 2007

Organization subpart

No

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

Authorized official

Name

Chuanpis Supasorn

Title

Administrator

Phone

(907) 569-3022

Specialties & licenses 2

Addresses

Other identifiers 3

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1619186145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 E 53RD AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995071661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 E 53RD AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995071661",
            "telephone_number": "907-569-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALS PALACE ASSISTANT LIVING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "SUPASORN",
        "authorized_official_first_name": "CHUANPIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-569-3022"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "000162",
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "AK",
            "license": "000162",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "310400000X",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "311Z00000X",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "385H00000X",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diane Palmer, BSW
• Joanna Bonique Palmer, LMT
• McKenna Palmer
• Stephanie Marie Palmer
• Olivia Palovchik
• Yiwei Pan, DPT
• Yifan Pang, MD
• Avery P Pangalangan
• Jennifer Marie Pangalangan, PHARMD.
• Kishya Pangelinan

• Assisted Living Facility in Anchorage, AK
• Providers in Anchorage, 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 Jun 19, 2008; 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.