Grandma K'S Place

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

000287 Issued in AK

Legal business name

GRANDMA K'S PLACE

Practice address

3832 Young St
Anchorage, AK 99508-4548

Phone

(907) 522-1958

NPI assigned

May 18, 2007

Organization subpart

No

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

Authorized official

Name

Miss Thelma Jean Dubyak

Title

Owner Administrator

Phone

(907) 522-1958

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710195193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3832 YOUNG ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084548",
            "telephone_number": "907-522-1958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3832 YOUNG ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084548",
            "telephone_number": "907-522-1958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANDMA K'S PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUBYAK",
        "authorized_official_first_name": "THELMA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER ADMINISTRATOR",
        "authorized_official_telephone_number": "907-522-1958",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "000287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RL19691",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Graham, NP
• Samista Maharjan Graham
• Sandra L Graham, P.T.
• Abigail L Granath, PA-C
• Grand Rising Transitional Housing
• Marin Granholm, MD
• Kelsey Granley, DPT
• Grannies Ride, LLC
• Grant Searles
• Deborah Grant-Hicks

• 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 Aug 22, 2020; 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.