NPIMap

Organization Active NPI

Saint Timothy Home 1

  • Assisted Living Facility
  • Anchorage, AK
National Provider Identifier
1790962793
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
100271 Issued in AK
Legal business name
SAINT TIMOTHY HOME 1
Practice address
12363 Division St
Anchorage, AK 99515-3436
Phone
(907) 337-6364
Fax
(907) 338-6365
NPI assigned
Jan 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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

Authorized official

Name
Mrs. Irene Cervas Escalante
Title
Owner/Administrator
Phone
(907) 337-6364

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 100271 AK Primary

Addresses

Primary practice location

12363 Division St
Anchorage, AK 99515-3436

Mailing address

12363 Division St
Anchorage, AK 99515-3436
Phone (907) 337-6364

Other identifiers 2

IdentifierTypeStateIssuer
RL 49331MedicaidAK
RL 49332MedicaidAK

National Provider Directory

National Provider Directory
Tax ID family
Saint Timothy Home 13 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1790962793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12363 DIVISION ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995153436",
            "telephone_number": "907-337-6364",
            "fax_number": "907-338-6365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12363 DIVISION ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995153436",
            "telephone_number": "907-337-6364",
            "fax_number": "907-338-6365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT TIMOTHY HOME 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "ESCALANTE",
        "authorized_official_first_name": "IRENE",
        "authorized_official_middle_name": "CERVAS",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "907-337-6364",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "100271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RL 49331",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RL 49332",
            "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 Jan 22, 2008; 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.