Active NPI
Harbor Lights House Assisted Living, Inc.
- Adult Day Care Clinic/Center
- Soldotna, AK
National Provider Identifier
1811132327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- HARBOR LIGHTS HOUSE ASSISTED LIVING, INC.
- Doing business as
- Harbor Lights Lakeview Center
- Practice address
- 39326 Hallelujah Trail Drive
Soldotna, AK 99669 - Phone
- (907) 260-3646
- NPI assigned
- Dec 12, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joanne Lorane Reed
- Title
- Administrator
- Phone
- (907) 262-5355
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary | ||
| Private Vehicle | 347C00000X |
Addresses
Primary practice location
39326 Hallelujah Trail Drive
Soldotna, AK 99669
Mailing address
39355 Dudley Ave
Soldotna, AK 99669-8603
Phone (907) 262-5355
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RL6259 | Medicaid | AK | |
| HC6259 | Medicaid | AK |
Other names 1
- Harbor Lights Lakeview Center
National Provider Directory
National Provider Directory- Tax ID family
- Harbor Lights House Assisted Living Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Soldotna, AK
- NPI 1902022262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1229040000000",
"number": "1811132327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39355 DUDLEY AVE",
"city": "SOLDOTNA",
"state": "AK",
"postal_code": "996698603",
"telephone_number": "907-262-5355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39326 HALLELUJAH TRAIL DRIVE",
"city": "SOLDOTNA",
"state": "AK",
"postal_code": "99669",
"telephone_number": "907-260-3646"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARBOR LIGHTS HOUSE ASSISTED LIVING, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-12",
"last_updated": "2008-12-12",
"status": "A",
"authorized_official_last_name": "REED",
"authorized_official_first_name": "JOANNE",
"authorized_official_middle_name": "LORANE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "907-262-5355"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RL6259",
"state": "AK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HC6259",
"state": "AK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Harbor Lights Lakeview Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Soldotna, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.