Skyline Assisted Living Home LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SKYLINE ASSISTED LIVING HOME LLC

Doing business as

Otcheck Home Alh

Practice address

63540 Skyline Dr
Homer, AK 99603-9333

Phone

(907) 266-2266

Fax

(907) 226-2265

NPI assigned

Sep 25, 2018

Last updated

Sep 25, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

SKYLINE ASSISTED LIVING HOME LLCAs reported in NPPES

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

Authorized official

Name

Mr. Dale Franklyn Otcheck

Title

Vice President

Phone

(907) 598-1992

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• OTCHECK HOME ALH Doing business as

Part of

Skyline Assisted Living Home LLC

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

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537833600000",
    "number": "1801371927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63540 SKYLINE DR",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996039333",
            "telephone_number": "907-266-2266",
            "fax_number": "907-226-2265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63540 SKYLINE DR",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996039333",
            "telephone_number": "907-266-2266",
            "fax_number": "907-226-2265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLINE ASSISTED LIVING HOME LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SKYLINE ASSISTED LIVING HOME LLC",
        "enumeration_date": "2018-09-25",
        "last_updated": "2018-09-25",
        "status": "A",
        "authorized_official_last_name": "OTCHECK",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "FRANKLYN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "907-598-1992",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALASKA BUSINESS LICENSE",
            "identifier": "1055911",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSISTED LIVING HOME LICENSE",
            "identifier": "10620",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OTCHECK HOME ALH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carol Shuler
• Kenneth Simpson
• Tamara Simpson
• Joel Sinnhuber
• Garret Lamendola Sitenga, MD
• Anita Sligh
• Alycia Slusher
• Leigh C Smith-Cloonan, LBSW
• Amy Smith
• Angela Smith

• Assisted Living Facility in Homer, AK
• Providers in Homer, 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 Sep 25, 2018; 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.