Organization Active NPI

Compassionate Care Assisted Living

  • Assisted Living Facility
  • Anchorage, AK
National Provider Identifier
1689899494
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
100442 Issued in AK
Legal business name
COMPASSIONATE CARE ASSISTED LIVING
Practice address
235 Alaska PL
Unit B
Anchorage, AK 99504-1317
Phone
(907) 339-9929
Fax
(907) 339-9609
NPI assigned
Apr 16, 2007
Last updated
Jun 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Mrs. Brenda Lee Humble, C.N.A
Title
Owner Administator
Phone
(907) 339-9929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 100442 AK Primary

Addresses

Primary practice location

235 Alaska PL
Unit B
Anchorage, AK 99504-1317

Mailing address

235 Alaska PL
Unit B
Anchorage, AK 99504-1317
Phone (907) 339-9929

Other identifiers 2

IdentifierTypeStateIssuer
HC2255MedicaidAK
RL2255MedicaidAK

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1689899494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 ALASKA PL",
            "address_2": "UNIT B",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995041317",
            "telephone_number": "907-339-9929",
            "fax_number": "907-339-9609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 ALASKA PL",
            "address_2": "UNIT B",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995041317",
            "telephone_number": "907-339-9929",
            "fax_number": "907-339-9609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE CARE ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "HUMBLE",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER ADMINISTATOR",
        "authorized_official_telephone_number": "907-339-9929",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "C.N.A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "100442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HC2255",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RL2255",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.