Independence Park Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

INDEPENDENCE PARK ASSISTED LIVING

Practice address

9618 Newhaven Loop
Anchorage, AK 99507-4426

Phone

(907) 350-2295

NPI assigned

Aug 7, 2019

Last updated

Aug 7, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daniel J Martinez

Title

Administrator/Owner

Phone

(907) 350-2295

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565136000000",
    "number": "1760037550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9618 NEWHAVEN LOOP",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995074426",
            "telephone_number": "907-350-2295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9618 NEWHAVEN LOOP",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995074426",
            "telephone_number": "907-350-2295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE PARK ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-07",
        "last_updated": "2019-08-07",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "907-350-2295"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Implied Human Dynamics Personal Care Home (Mary Jane Seacole)
• In Blessed Hands Alh
• In His Image LLC
• Chakri Inampudi, MD
• Independence Lodge, LLC
• Independence Park Medical Services Inc
• Independent Care Coordination, LLC
• Independent Intelligence LLC
• Independent Life Transporation (Independent Life)
• Naya Indira

• 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 Aug 7, 2019; 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.