Grace of God Assisted Living Home LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GRACE OF GOD ASSISTED LIVING HOME LLC

Practice address

1311 W 40TH Ave
Anchorage, AK 99503-6507

Phone

(907) 250-9404

Fax

(907) 868-1156

NPI assigned

May 22, 2019

Organization subpart

No

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

Authorized official

Name

Elena Baltazar Canlas

Title

Administrator

Phone

(907) 250-9404

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558483200000",
    "number": "1619534948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7430 MARGARET CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995182043",
            "telephone_number": "907-250-9404",
            "fax_number": "907-868-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 W 40TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995036507",
            "telephone_number": "907-250-9404",
            "fax_number": "907-868-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE OF GOD ASSISTED LIVING HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-22",
        "last_updated": "2019-05-22",
        "status": "A",
        "authorized_official_last_name": "CANLAS",
        "authorized_official_first_name": "ELENA",
        "authorized_official_middle_name": "BALTAZAR",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-250-9404"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Estella Gould
• Roland Edward Gower, M.D.
• Brianna L Goz, PT
• Karen L Graber, LMFT, LPC
• Rick Allen Graber, PHD
• Grace R, LLC
• Jon Grace, MD
• Graceful Living LLC
• Graceful Living LLC
• Graceful Living LLC

• 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 May 22, 2019; 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.