Organization Active NPI

A&L Blessing Assisted Living Home LLC

  • Custodial Care Facility
  • Anchorage, AK
National Provider Identifier
1740998954
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
Legal business name
A&L BLESSING ASSISTED LIVING HOME LLC
Practice address
8609 E 10TH Ave # B
Anchorage, AK 99504-2208
Phone
(907) 885-4686
NPI assigned
Nov 8, 2022
Last updated
Nov 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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

Authorized official

Name
Andre Coleman
Title
Owner
Phone
(907) 885-4686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X Primary

Addresses

Primary practice location

8609 E 10TH Ave # B
Anchorage, AK 99504-2208

Mailing address

8609 E 10TH Ave # B
Anchorage, AK 99504-2208
Phone (907) 885-4686

Other identifiers 1

IdentifierTypeStateIssuer
108888MedicaidAK

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL FAX Other

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1667865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667865600000",
    "number": "1740998954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8609 E 10TH AVE # B",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995042208",
            "telephone_number": "907-885-4686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8609 E 10TH AVE # B",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995042208",
            "telephone_number": "907-885-4686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A&L BLESSING ASSISTED LIVING HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-08",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-885-4686"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108888",
            "state": "AK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "FAX",
            "affiliation": "N",
            "endpointDescription": "FAX",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FAX",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "FAX",
            "address_1": "8609 E 10th Ave # B",
            "city": "Anchorage",
            "state": "AK",
            "country_code": "US",
            "postal_code": "995042208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Nov 8, 2022; 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.