The Alaska Care Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

101196 Issued in AK

Legal business name

THE ALASKA CARE HOME

Practice address

5511 W Montclaire Ave
Wasilla, AK 99623-0984

Phone

(907) 903-8619

NPI assigned

Sep 19, 2017

Organization subpart

No

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

Authorized official

Name

Julie Fiess

Title

Owner/Administrator

Phone

(907) 903-8619

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1505779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505779200000",
    "number": "1659890879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5511 W MONTCLAIRE AVE",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996230984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5511 W MONTCLAIRE AVE",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996230984",
            "telephone_number": "907-903-8619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ALASKA CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-19",
        "last_updated": "2017-09-19",
        "status": "A",
        "authorized_official_last_name": "FIESS",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "907-903-8619"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "101196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele K Tennis
• Celia M Terhaar
• David Lee Terzich
• Gwendolynne Ann Teutsch, CMT
• Thayne Dawson DMD LLC
• The Alaska Care Home, LLC
• The Alaska Shield Agency
• The Birth Place
• The Children'S Place
• The Listen Lady

• Assisted Living Facility in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Assisted Living Facility in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2017; 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.