Windy Ridge Assisted Living

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

100183 Issued in AK

Legal business name

WINDY RIDGE ASSISTED LIVING

Practice address

7781 W Dean Dr
Wasilla, AK 99623-0824

Phone

(907) 841-1380

Fax

(907) 357-7887

NPI assigned

May 11, 2017

Organization subpart

No

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

Authorized official

Name

Marsha SommervilleNPI 1932629508

Title

Administrator

Phone

(907) 841-1380

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marsha Sommerville

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Wasilla, AK
  • NPI 1932629508

  Community Based Residential Treatment Facility, Intellectual and/Or Developmental Disabilities

  NPD (past) Authorized official

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1700312790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7362 W PARKS HWY # 638",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996239300",
            "telephone_number": "907-841-1380",
            "fax_number": "907-357-7887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7781 W DEAN DR",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996230824",
            "telephone_number": "907-841-1380",
            "fax_number": "907-357-7887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDY RIDGE ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "SOMMERVILLE",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-841-1380"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "AK",
            "license": "100183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Zaakery Wilson, PSS
• Sara Royce Wilson, RBT
• Elizabeth Winans
• Elisa V Winchester, LPN
• Windsong Midwifery, LLC
• Arline Renee Winn-Hill
• Catherine S Winter
• Danielle Rebekah Winter, OTD
• Isaac Dine'H Winters, MSW
• Brittany Wise, DPT, PT

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.