NPIMap

Organization Active NPI

Our Lady of Guadalupe, L. L. C.

  • Assisted Living Facility
  • Anchorage, AK
National Provider Identifier
1710185780
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
100600 Issued in AK
Legal business name
OUR LADY OF GUADALUPE, L. L. C.
Practice address
8211 Majestic Dr
Anchorage, AK 99504-4702
Phone
(907) 338-9588
Fax
(907) 644-7944
NPI assigned
Jul 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Authorized official

Name
Analiza Y Pentecostes
Title
Administrator
Phone
(907) 338-9588

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 100600 AK Primary

Addresses

Primary practice location

8211 Majestic Dr
Anchorage, AK 99504-4702

Mailing address

8211 Majestic Dr
Anchorage, AK 99504-4702
Phone (907) 338-9588

National Provider Directory

National Provider Directory
Tax ID family
Our Lady of Guadalupe LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1710185780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8211 MAJESTIC DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995044702",
            "telephone_number": "907-338-9588",
            "fax_number": "907-644-7944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8211 MAJESTIC DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995044702",
            "telephone_number": "907-338-9588",
            "fax_number": "907-644-7944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR LADY OF GUADALUPE, L. L. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "PENTECOSTES",
        "authorized_official_first_name": "ANALIZA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-338-9588"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "100600",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 11, 2007; 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.