Organization Active NPI

Northern Lights Alh LLC

  • Assisted Living Facility
  • Anchorage, AK
National Provider Identifier
1750504189
Registry record updated May 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
NORTHERN LIGHTS ALH LLC
Practice address
1640 Vashon Cir
Anchorage, AK 99515-3145
Phone
(907) 277-0378
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2008

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

Authorized official

Name
Aleks N/a Prost
Title
Administrator
Phone
(907) 277-0378

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1640 Vashon Cir
Anchorage, AK 99515-3145

Mailing address

1640 Vashon Cir
Anchorage, AK 99515-3145
Phone (907) 277-0378

Other identifiers 1

IdentifierTypeStateIssuer
RL 4643MedicaidAK

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211760000000",
    "number": "1750504189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 VASHON CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995153145",
            "telephone_number": "907-277-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 VASHON CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995153145",
            "telephone_number": "907-277-0378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN LIGHTS ALH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2008-05-26",
        "status": "A",
        "authorized_official_last_name": "PROST",
        "authorized_official_first_name": "ALEKS",
        "authorized_official_middle_name": "N/A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-277-0378"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RL 4643",
            "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 May 26, 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.