Organization Active NPI

The Renaissance Assisted Living LLC

  • Assisted Living Facility
  • Wasilla, AK
National Provider Identifier
1760315329
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
THE RENAISSANCE ASSISTED LIVING LLC
Practice address
9727 W Demar Ave
Wasilla, AK 99623-4957
Phone
(907) 310-1560
NPI assigned
Jun 4, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Authorized official

Name
David McCarthy
Title
Member/Administrator
Phone
(907) 310-1560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

9727 W Demar Ave
Wasilla, AK 99623-4957

Mailing address

PO Box 877531
Wasilla, AK 99687-7531

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1780531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780531200000",
    "number": "1760315329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 877531",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996877531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9727 W DEMAR AVE",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996234957",
            "telephone_number": "907-310-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RENAISSANCE ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-04",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MEMBER/ADMINISTRATOR",
        "authorized_official_telephone_number": "907-310-1560"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; 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.