Aspen Creek Kenai LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ASPEN CREEK KENAI LLC

Practice address

701 N Forest Dr
Kenai, AK 99611

Phone

(907) 335-2050

Fax

(907) 335-2051

NPI assigned

Jan 5, 2022

Organization subpart

No

Name

Mr. Kemish Hendershot

Title

Ceo/ Owner

Phone

(907) 268-4235

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 5, 2022.

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641340800000",
    "number": "1689335291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N FOREST DR",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "99611",
            "telephone_number": "907-335-2050",
            "fax_number": "907-335-2051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N FOREST DR",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "99611",
            "telephone_number": "907-335-2050",
            "fax_number": "907-335-2051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPEN CREEK KENAI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A",
        "authorized_official_last_name": "HENDERSHOT",
        "authorized_official_first_name": "KEMISH",
        "authorized_official_title_or_position": "CEO/ OWNER",
        "authorized_official_telephone_number": "907-268-4235",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "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 Jan 5, 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.