Organization Active NPI

Rocking Years Assisted Living II

  • Assisted Living Facility
  • Fairbanks, AK
National Provider Identifier
1821217423
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
100576 Issued in AK
Legal business name
ROCKING YEARS ASSISTED LIVING II
Practice address
3291 Jefferson Dr
Fairbanks, AK 99709-5037
Phone
(907) 374-5816
NPI assigned
Apr 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Helen Powell
Title
Administrator
Phone
(907) 374-5816

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 100576 AK Primary

Addresses

Primary practice location

3291 Jefferson Dr
Fairbanks, AK 99709-5037

Mailing address

1913 Jack St
Fairbanks, AK 99709-4111

Other identifiers 1

IdentifierTypeStateIssuer
IN PROCESSMedicaidAK

National Provider Directory

National Provider Directory
Tax ID family
Rocking Years3 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": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821217423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1913 JACK ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997094111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3291 JEFFERSON DR",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997095037",
            "telephone_number": "907-374-5816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKING YEARS ASSISTED LIVING II",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-374-5816"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "100576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "IN PROCESS",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

  • 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.