NPIMap

Organization Active NPI

Arctic Haven Alh, Inc.

  • Assisted Living Facility
  • Anchorage, AK
National Provider Identifier
1730203647
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
735447 Issued in AK
Legal business name
ARCTIC HAVEN ALH, INC.
Practice address
3300 E 15TH Ave
Anchorage, AK 99508-3005
Phone
(907) 258-0197
Fax
(907) 222-6037
NPI assigned
Mar 17, 2007
Last updated
Apr 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Authorized official

Name
Myla Gracia Cayabyab Gatpandan, B.S.N., R.N.
Title
President-Administrator
Phone
(907) 258-0197

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 735447 AK Primary

Addresses

Primary practice location

3300 E 15TH Ave
Anchorage, AK 99508-3005

Mailing address

3300 E 15TH Ave
Anchorage, AK 99508-3005
Phone (907) 258-0197

Other identifiers 6

IdentifierTypeStateIssuer
HC85613MedicaidAK
RL85612MedicaidAK
RL85613MedicaidAK
HC85611MedicaidAK
RL85611MedicaidAK
HC85612MedicaidAK

National Provider Directory

National Provider Directory
Tax ID family
Arctic Haven Alh Inc4 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": "1174089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1730203647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 E 15TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995083005",
            "telephone_number": "907-258-0197",
            "fax_number": "907-222-6037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 E 15TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995083005",
            "telephone_number": "907-258-0197",
            "fax_number": "907-222-6037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCTIC HAVEN ALH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-17",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "GATPANDAN",
        "authorized_official_first_name": "MYLA GRACIA",
        "authorized_official_middle_name": "CAYABYAB",
        "authorized_official_title_or_position": "PRESIDENT-ADMINISTRATOR",
        "authorized_official_telephone_number": "907-258-0197",
        "authorized_official_credential": "B.S.N., R.N."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "735447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HC85613",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RL85612",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RL85613",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HC85611",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RL85611",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HC85612",
            "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 Apr 28, 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.