Heidis Place

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

000065 Issued in AK

Legal business name

HEIDIS PLACE

Practice address

2350 Porcupine TRL
Wasilla, AK 99654-3656

Phone

(907) 373-2011

NPI assigned

Mar 30, 2007

Organization subpart

No

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

Authorized official

Name

Heidi Angle

Title

Owner

Phone

(907) 373-2011

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730209891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 PORCUPINE TRL",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996543656",
            "telephone_number": "907-373-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 PORCUPINE TRL",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996543656",
            "telephone_number": "907-373-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEIDIS PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANGLE",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-373-2011"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "000065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig Bruce Hediger, DC
• Kurt Wayne Hediger, D.C.
• Moriah Alyn Hediger, APRN
• Corabelle Ann Hedrick
• Caitlin Hegwood, LPC, LPC-S, MAC
• Whitney S Heidy
• Scott Dean Heim
• Sunylee Heintzman
• Travis Martin Heintzman
• Ashley Marie Heister, PT, DPT

• Assisted Living Facility in Wasilla, AK
• Providers in Wasilla, 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.