Organization Active NPI

Happy Valley Assisted Living LLC

Doing business as Happy Valley Assisted Living Home 2

  • Assisted Living Facility (Mental Illness)
  • Ninilchik, AK
National Provider Identifier
1619585692
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
Legal business name
HAPPY VALLEY ASSISTED LIVING LLC
Doing business as
Happy Valley Assisted Living Home 2
Practice address
69423 Seitz Ave
Home 2
Ninilchik, AK 99639
Phone
(907) 299-5670
NPI assigned
Jul 16, 2020
Last updated
Sep 20, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
HAPPY VALLEY ASSISTED LIVING LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Authorized official

Name
Erica Neland
Title
Owner
Phone
(907) 567-3419

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X NU Primary

Addresses

Primary practice location

69423 Seitz Ave
Home 2
Ninilchik, AK 99639

Mailing address

PO Box 414
Anchor Point, AK 99556-0414
Phone (907) 567-3419

Other identifiers 2

IdentifierTypeStateIssuer
183635MedicaidAK
183630MedicaidAK

Other names 1

  • Happy Valley Assisted Living Home 2 Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address erica.neland@happyvalleyassistedliving.directak.net Direct

National Provider Directory

National Provider Directory
Tax ID family
Happy Valley Assisted Living LLC2 organizations share this tax ID, including this one
Part of
Happy Valley Assisted Living LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1619585692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 414",
            "city": "ANCHOR POINT",
            "state": "AK",
            "postal_code": "995560414",
            "telephone_number": "907-567-3419",
            "fax_number": "907-202-5169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69423 SEITZ AVE",
            "address_2": "HOME 2",
            "city": "NINILCHIK",
            "state": "AK",
            "postal_code": "99639",
            "telephone_number": "907-299-5670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAPPY VALLEY ASSISTED LIVING LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HAPPY VALLEY ASSISTED LIVING LLC",
        "enumeration_date": "2020-07-16",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "NELAND",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-567-3419"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183635",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183630",
            "state": "AK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "erica.neland@happyvalleyassistedliving.directak.net",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "69423 Seitz Ave #2",
            "city": "Ninilchik",
            "state": "AK",
            "country_code": "US",
            "postal_code": "99639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Happy Valley Assisted Living Home 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ninilchik, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.