Organization Active NPI

Samara Bethesda Assisted Living LLC

  • Nurse's Aide
  • Anchorage, AK
National Provider Identifier
1629913215
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
Legal business name
SAMARA BETHESDA ASSISTED LIVING LLC
Practice address
4353 Rendezvous Cir
Anchorage, AK 99504-4219
Phone
(808) 428-9147
Fax
(808) 748-0131
NPI assigned
Apr 21, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Authorized official

Name
Mydanelle Vila, CNA
Title
Administrator
Phone
(808) 428-9147

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's AideGroup: 193400000X SINGLE SPECIALTY GROUP 376K00000X Primary

Addresses

Primary practice location

4353 Rendezvous Cir
Anchorage, AK 99504-4219

Mailing address

4353 Rendezvous Cir
Anchorage, AK 99504-4219
Phone (808) 428-9147

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1776729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776729600000",
    "number": "1629913215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4353 RENDEZVOUS CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995044219",
            "telephone_number": "808-428-9147",
            "fax_number": "808-748-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4353 RENDEZVOUS CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995044219",
            "telephone_number": "808-428-9147",
            "fax_number": "808-748-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARA BETHESDA ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-21",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A",
        "authorized_official_last_name": "VILA",
        "authorized_official_first_name": "MYDANELLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "808-428-9147",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "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 Apr 21, 2026; 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.