Opus Memoria LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

101166 Issued in AK

Legal business name

OPUS MEMORIA LLC

Practice address

4880 Chuck Dr
Anchorage, AK 99507-1475

Phone

(907) 868-1919

Fax

(877) 310-8771

NPI assigned

Sep 1, 2016

Organization subpart

No

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

Authorized official

Name

Suzanne Hickel, CSA

Title

Administrator

Phone

(907) 868-1919

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1669929014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220813",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995220813",
            "telephone_number": "907-868-1919",
            "fax_number": "877-310-8771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4880 CHUCK DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995071475",
            "telephone_number": "907-868-1919",
            "fax_number": "877-310-8771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPUS MEMORIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "HICKEL",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-868-1919",
        "authorized_official_credential": "CSA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "101166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.