Enrichment Center for Mature Adults, LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

ENRICHMENT CENTER FOR MATURE ADULTS, LLC

Practice address

2207 E Tudor Rd Ste 33
Anchorage, AK 99507-1069

Phone

(907) 561-1083

Fax

(907) 561-1075

NPI assigned

Mar 10, 2017

Last updated

Mar 10, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tou Xiong

Title

Program Director

Phone

(907) 561-1083

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1489104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489104000000",
    "number": "1699216606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2207 E TUDOR RD STE 33",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995071069",
            "telephone_number": "907-561-1083",
            "fax_number": "907-561-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2207 E TUDOR RD STE 33",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995071069",
            "telephone_number": "907-561-1083",
            "fax_number": "907-561-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENRICHMENT CENTER FOR MATURE ADULTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-10",
        "last_updated": "2017-03-10",
        "status": "A",
        "authorized_official_last_name": "XIONG",
        "authorized_official_first_name": "TOU",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "907-561-1083"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DSDS",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Adult Day Care Clinic/Center in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Adult Day Care Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; 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.