House of Shalom LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

10051 Issued in AK

Legal business name

HOUSE OF SHALOM LLC

Practice address

2608 Frigate Cir
2608 Frigate Cir
Anchorage, AK 99515-2569

Phone

(907) 222-4868

NPI assigned

Feb 28, 2007

Organization subpart

No

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

Authorized official

Name

Miss Grace E Graham

Title

Owner

Phone

(907) 222-4868

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821126145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2608 FRIGATE CIR",
            "address_2": "2608 FRIGATE CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995152569",
            "telephone_number": "907-222-4868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2608 FRIGATE CIR",
            "address_2": "2608 FRIGATE CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995152569",
            "telephone_number": "907-222-4868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE OF SHALOM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-222-4868",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "10051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RL2318",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Anchorage, AK
• Providers in Anchorage, 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 Aug 22, 2020; 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.