Fitchett'S Assisted Living Home LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

1063205 Issued in AK

Legal business name

FITCHETT'S ASSISTED LIVING HOME LLC

Doing business as

Fitchett's Assisted Living Home LLC

Practice address

8481 Ridgeway Ave
Anchorage, AK 99504-4196

Phone

(907) 242-9698

NPI assigned

Feb 18, 2018

Organization subpart

No

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

Authorized official

Name

John Kevin Fitchett

Title

Administrator

Phone

(907) 242-9698

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fitchett's Assisted Living Home LLC Doing business as

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

{
    "created_epoch": "1518912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518912000000",
    "number": "1730689522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8481 RIDGEWAY AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995044196",
            "telephone_number": "907-242-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8481 RIDGEWAY AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995044196",
            "telephone_number": "907-242-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FITCHETT'S ASSISTED LIVING HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-18",
        "last_updated": "2018-02-18",
        "status": "A",
        "authorized_official_last_name": "FITCHETT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-242-9698"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "1063205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fitchett's Assisted Living Home LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lucy Ljubicich Fisher, M.D.
• Young A Fisher, RD
• Brandon Fisk, CTRS
• Holly Michelle Fisk, ANP
• Rosemarie Fitch
• Arycelli Fitiausi
• Gail Ann Fitka, BA
• James Michael Fitterling, PH.D.
• Andrea Jean Fitutasi, LPN
• Brock Fitzgerald

• 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 Feb 18, 2018; 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.