Organization Active NPI

Mind and Soul 2 Assisted Living Home LLC

  • Meals Provider
  • Anchorage, AK
National Provider Identifier
1639829633
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Meals ProviderTaxonomy code 174200000X
Legal business name
MIND AND SOUL 2 ASSISTED LIVING HOME LLC
Practice address
6233 Geronimo Cir
Anchorage, AK 99504-1659
Phone
(907) 350-0748
NPI assigned
Mar 24, 2022
Organization subpart
Yes
Parent organization
MIND AND SOUL ASSISTED LIVING, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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

Authorized official

Name
Elford and Eloise Joseph
Title
Administrator / Designee
Phone
(907) 350-3878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Meals Provider 174200000X Primary

Addresses

Primary practice location

6233 Geronimo Cir
Anchorage, AK 99504-1659

Mailing address

6233 Geronimo Cir
Anchorage, AK 99504-1659
Phone (907) 350-0748

Other names 1

  • Mind and Soul 2 Assisted Living Home, LLC Doing business as

National Provider Directory

National Provider Directory
Part of
Mind and Soul Assisted Living LLC

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.

NPI Registry JSON

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648080000000",
    "number": "1639829633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6233 GERONIMO CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995041659",
            "telephone_number": "907-350-0748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6233 GERONIMO CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995041659",
            "telephone_number": "907-350-0748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND AND SOUL 2 ASSISTED LIVING HOME LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIND AND SOUL ASSISTED LIVING, LLC",
        "enumeration_date": "2022-03-24",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "ELFORD AND ELOISE",
        "authorized_official_title_or_position": "ADMINISTRATOR / DESIGNEE",
        "authorized_official_telephone_number": "907-350-3878"
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mind and Soul 2 Assisted Living Home, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mind and Soul 2 Assisted Living Home, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 24, 2022; 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.