Organization Active NPI

Anchorage Adult Day Services

  • Adult Care Home Facility
  • Anchorage, AK
National Provider Identifier
1649524182
Registry record updated Nov 6, 2012
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OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Apr 20, 2016.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
972572 Issued in AK
Legal business name
ANCHORAGE ADULT DAY SERVICES
Practice address
360 Boniface Parkway, Suite B8
Anchorage, AK 99504
Phone
(907) 868-4988
Fax
(907) 868-4998
NPI assigned
Nov 6, 2012
Last updated
Nov 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2012

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

Authorized official

Name
Jerlyn Salazar Odron
Title
Manager
Phone
(907) 350-3098

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 972572 AK Primary

Addresses

Primary practice location

360 Boniface Parkway, Suite B8
Anchorage, AK 99504

Mailing address

8037 Country Woods Dr
Anchorage, AK 99502-4691
Phone (907) 350-3098

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

360 Boniface Pkwy
Unit B8
Anchorage, AK 99504
Phone (907) 868-4988

NPI Registry JSON

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

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352160000000",
    "number": "1649524182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8037 COUNTRY WOODS DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995024691",
            "telephone_number": "907-350-3098",
            "fax_number": "907-522-5322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 BONIFACE PARKWAY, SUITE B8",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99504",
            "telephone_number": "907-868-4988",
            "fax_number": "907-868-4998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCHORAGE ADULT DAY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-06",
        "last_updated": "2012-11-06",
        "status": "A",
        "authorized_official_last_name": "ODRON",
        "authorized_official_first_name": "JERLYN",
        "authorized_official_middle_name": "SALAZAR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "907-350-3098"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "AK",
            "license": "972572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.