NPIMap

Organization Active NPI

Stannealh 1

  • Physical Disabilities Residential Treatment Facility
  • Anchorage, AK
National Provider Identifier
1750506358
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
License
000166 Issued in AK
Legal business name
STANNEALH 1
Practice address
9140 Shady Bay Cir
Anchorage, AK 99507-4917
Phone
(907) 336-4010
Fax
(907) 336-4010
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Luisa Estrella Burke
Title
Administrator
Phone
(907) 336-4010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Disabilities Residential Treatment Facility 320700000X 000166 AK Primary

Addresses

Primary practice location

9140 Shady Bay Cir
Anchorage, AK 99507-4917

Mailing address

9140 Shady Bay Cir.
Anchorage, AK 99507

Other identifiers 1

IdentifierTypeStateIssuer
HC12713MedicaidAK

National Provider Directory

National Provider Directory
Tax ID family
Stannealh Inc 25 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750506358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9140 SHADY BAY CIR.",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9140 SHADY BAY CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995074917",
            "telephone_number": "907-336-4010",
            "fax_number": "907-336-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANNEALH 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "LUISA",
        "authorized_official_middle_name": "ESTRELLA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-336-4010"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "AK",
            "license": "000166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HC12713",
            "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 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.