Organization Active NPI

Harbor Lights House Assisted Living, Inc.

  • Adult Day Care Clinic/Center
  • Soldotna, AK
National Provider Identifier
1811132327
Registry record updated Dec 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
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

Updated by the provider on Dec 12, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
RL6259MedicaidAK
HC6259MedicaidAK

Other names 1

  • Harbor Lights Lakeview Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Harbor Lights House Assisted Living Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "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.

Verify at the official NPI Registry.