MSM Anchorage LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MSM ANCHORAGE LLC

Practice address

11150 Sukdu Wasy
Anchorage, AK 99515

Phone

(907) 561-9200

NPI assigned

Oct 1, 2021

Organization subpart

No

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

Authorized official

Name

Nicholas Larsen

Title

Ceo

Phone

(435) 754-4034

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1633046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633046400000",
    "number": "1689346231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 E 2200 N",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843411865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11150 SUKDU WASY",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99515",
            "telephone_number": "907-561-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSM ANCHORAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-01",
        "last_updated": "2021-10-01",
        "certification_date": "2021-09-16",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "435-754-4034"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabeena Mozaffar
• Amy Renee Mozolik, PSY.D.
• Kate M. Mraz, MS
• Michael Kirwan Mraz, MD
• Timothy Mraz
• MSM Inc (Whole Health Chiropractic)
• Daysiah Muasau
• Tuiomaumi Michell Muasau
• Michelle Mucha
• Melissa Mueller-Souphanavong, LMT

• 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 Oct 1, 2021; 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.