Organization Active NPI

Demeluz Assisted Living Home, LLC

  • Assisted Living Facility
  • Anchorage, AK
National Provider Identifier
1790101152
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
DEMELUZ ASSISTED LIVING HOME, LLC
Practice address
7231 Bern St
Anchorage, AK 99507-2731
Phone
(907) 868-1793
NPI assigned
Mar 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

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

Authorized official

Name
Milagros O Torralba
Title
Owner
Phone
(907) 250-5678

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

7231 Bern St
Anchorage, AK 99507-2731

Mailing address

2000 Casey Cusack Loop
Anchorage, AK 99515-2809
Phone (907) 250-5678

Other identifiers 1

IdentifierTypeStateIssuer
2MedicaidAK

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394409600000",
    "number": "1790101152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 CASEY CUSACK LOOP",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995152809",
            "telephone_number": "907-250-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7231 BERN ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995072731",
            "telephone_number": "907-868-1793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEMELUZ ASSISTED LIVING HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-10",
        "last_updated": "2014-03-10",
        "status": "A",
        "authorized_official_last_name": "TORRALBA",
        "authorized_official_first_name": "MILAGROS",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-250-5678"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2",
            "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 Mar 10, 2014; 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.