NPIMap

Organization Active NPI

J.C Faith Open Arms #3

  • Assisted Living Facility (Mental Illness)
  • Anchorage, AK
National Provider Identifier
1629331863
Registry record updated Jun 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
License
6412530 Issued in AK
Legal business name
J.C FAITH OPEN ARMS #3
Practice address
8301 E 11TH CT Unit 2
Anchorage, AK 99504-2210
Phone
(907) 602-0818
NPI assigned
Jun 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2012

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

Authorized official

Name
Ms. Joyce Lavette Mewborn
Title
Owner
Phone
(907) 602-0818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X 6412530 AK Primary

Addresses

Primary practice location

8301 E 11TH CT Unit 2
Anchorage, AK 99504-2210

Mailing address

2517 W 67TH Ave
Anchorage, AK 99502-2216
Phone (907) 602-0818

National Provider Directory

National Provider Directory
Tax ID family
JC Faith Open Arms 15 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340323200000",
    "number": "1629331863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2517 W 67TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995022216",
            "telephone_number": "907-602-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 E 11TH CT UNIT 2",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995042210",
            "telephone_number": "907-602-0818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.C FAITH OPEN ARMS #3",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-22",
        "last_updated": "2012-06-22",
        "status": "A",
        "authorized_official_last_name": "MEWBORN",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "LAVETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-602-0818",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "AK",
            "license": "6412530",
            "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 Jun 22, 2012; 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.