Mercedes Assisted Living Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

100787 Issued in AK

Legal business name

MERCEDES ASSISTED LIVING HOME

Practice address

1815 Laura Cir
Anchorage, AK 99508-3516

Phone

(907) 569-5686

Fax

(907) 569-5687

NPI assigned

Jun 3, 2010

Last updated

Jun 3, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Philamefrida Villadores Agcaoili

Title

Owner/Administrator

Phone

(907) 764-9958

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275523200000",
    "number": "1831419621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 LAURA CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995083516",
            "telephone_number": "907-569-5686",
            "fax_number": "907-569-5687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 LAURA CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995083516",
            "telephone_number": "907-569-5686",
            "fax_number": "907-569-5687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCEDES ASSISTED LIVING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-03",
        "last_updated": "2010-06-03",
        "status": "A",
        "authorized_official_last_name": "AGCAOILI",
        "authorized_official_first_name": "PHILAMEFRIDA",
        "authorized_official_middle_name": "VILLADORES",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "907-764-9958",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "100787",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 3, 2010; 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.