NPIMap

Organization Active NPI

Carmelite Home

  • Physical Disabilities Residential Treatment Facility
  • Anchorage, AK
National Provider Identifier
1790035087
Registry record updated Sep 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
License
100955 Issued in AK
Legal business name
CARMELITE HOME
Practice address
9401 Aphrodite Dr.
Anchorage, AK 99515
Phone
(907) 336-1296
Fax
(907) 336-1298
NPI assigned
Sep 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2012

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

Authorized official

Name
Aina R FowlerNPI 1679846125
Title
Administrator/Owner
Phone
(907) 336-1296

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Disabilities Residential Treatment Facility 320700000X 100955 AK Primary

Addresses

Primary practice location

9401 Aphrodite Dr.
Anchorage, AK 99515

Mailing address

9401 Aphrodite Dr.
Anchorage, AK 99515
Phone (907) 336-1296

Other identifiers 1

IdentifierTypeStateIssuer
RLXOtherAKHOME AND COMMUNITY BASED WAIVER PROGRAM

Other names 1

  • Carmelite Home Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347494400000",
    "number": "1790035087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9401 APHRODITE DR.",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99515",
            "telephone_number": "907-336-1296",
            "fax_number": "907-336-1298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 APHRODITE DR.",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99515",
            "telephone_number": "907-336-1296",
            "fax_number": "907-336-1298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARMELITE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-13",
        "last_updated": "2012-09-13",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "AINA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "907-336-1296"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "AK",
            "license": "100955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME AND COMMUNITY BASED WAIVER PROGRAM",
            "identifier": "RLX",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carmelite Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 13, 2012; 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.