Queen of Hearts Assisted Living Home LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

101057 Issued in AK

Legal business name

QUEEN OF HEARTS ASSISTED LIVING HOME LLC

Practice address

3300 E 15TH Ave
Anchorage, AK 99508-3005

Phone

(907) 342-5937

Fax

(907) 929-0492

NPI assigned

May 29, 2014

Organization subpart

No

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

Authorized official

Name

Queenie Cayabyab

Title

Owner/Administrator

Phone

(907) 342-5937

Specialties & licenses 1

Addresses

Other identifiers 3

Electronic endpoints 1

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651190400000",
    "number": "1689086241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6821 QUEENS VIEW CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995045203",
            "telephone_number": "907-342-5937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 E 15TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995083005",
            "telephone_number": "907-342-5937",
            "fax_number": "907-929-0492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEEN OF HEARTS ASSISTED LIVING HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-29",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A",
        "authorized_official_last_name": "CAYABYAB",
        "authorized_official_first_name": "QUEENIE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "907-342-5937"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "101057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSISTED LIVING HOME LICENSE",
            "identifier": "101057",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1613952",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS LICENSE",
            "identifier": "998397",
            "state": "AK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "queenofheartsalh@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "queenofheartsalh@gmail.com",
            "address_1": "3300 E 15th Ave",
            "city": "Anchorage",
            "state": "AK",
            "country_code": "US",
            "postal_code": "995083005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Karen Putnam
• Mandi Puzon, LMT
• Sarah Michelle Pype, MSW
• Quality & Quantity Care Services LLC
• Alyson Quartly, APRN
• Lawanda Michelle Queen
• Rowena Queja, LCSW
• Quest Diagnostics Clinical Laboratories Inc
• Quickride LLC
• Todd Rodger Quier, MD

• Assisted Living Facility in Anchorage, AK
• Providers in Anchorage, 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 Apr 29, 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.