Rabe Assisted Living Home,LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

100788 Issued in AK

Legal business name

RABE ASSISTED LIVING HOME,LLC

Practice address

4941 Alpha Cir
Anchorage, AK 99516-2253

Phone

(907) 336-6260

NPI assigned

Aug 10, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Josephine Seleriana Balgenorth

Title

Administrator

Phone

(907) 727-4723

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330387200000",
    "number": "1740595172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4941 ALPHA CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995162253",
            "telephone_number": "907-336-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4941 ALPHA CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995162253",
            "telephone_number": "907-336-6260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RABE ASSISTED LIVING HOME,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-10",
        "last_updated": "2012-02-28",
        "status": "A",
        "authorized_official_last_name": "BALGENORTH",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_middle_name": "SELERIANA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-727-4723",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AK",
            "license": "100788",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "100788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RLX",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HCX",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Krystal Quinto
• Kelly Joy Quisenberry, RD LD
• R C Gregorin II DDS LLC
• R. Miranda, LLC
• Kristina Rabatin, DDS
• Gerrrneil Rabino
• Lisa Rabinowitz, MD
• Max J Rabinowitz, MD
• Sarah Rabinowitz, LCSW, MSW
• Jennifer A Race, RN

• 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 28, 2012; 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.