NPIMap

Organization Active NPI

Emmanel Assisted Living Home West, Inc.

  • Assisted Living Facility
  • Fairbanks, AK
National Provider Identifier
1831809953
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
EMMANEL ASSISTED LIVING HOME WEST, INC.
Practice address
70 Steelhead Rd
Fairbanks, AK 99709-3035
Phone
(907) 750-6785
Fax
(877) 620-9084
NPI assigned
Nov 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Authorized official

Name
Ms. Valeria Cristina CastroNPI 1124737499
Title
Administrator
Phone
(907) 750-6785

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Meals Provider 174200000X
Lodging Provider 177F00000X
Home Health Agency 251E00000X
Community Based Hospice Care Agency 251G00000X
Adult Day Care Clinic/Center 261QA0600X
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

70 Steelhead Rd
Fairbanks, AK 99709-3035

Mailing address

70 Steelhead Rd
Fairbanks, AK 99709-3035
Phone (907) 750-6785

Other identifiers 1

IdentifierTypeStateIssuer
101292OtherAKDEP HOME HEALTH AND SOCIAL SERVICES AK

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL LILY5GHZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1831809953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 STEELHEAD RD",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997093035",
            "telephone_number": "907-750-6785",
            "fax_number": "877-620-9084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 STEELHEAD RD",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997093035",
            "telephone_number": "907-750-6785",
            "fax_number": "877-620-9084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMANEL ASSISTED LIVING HOME WEST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-29",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "VALERIA",
        "authorized_official_middle_name": "CRISTINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-750-6785",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEP HOME HEALTH AND SOCIAL SERVICES AK",
            "identifier": "101292",
            "state": "AK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "LILY5GHZ",
            "affiliation": "N",
            "endpointDescription": "CONCAST",
            "address_1": "70 Steelhead Rd",
            "city": "Fairbanks",
            "state": "AK",
            "country_code": "US",
            "postal_code": "997093035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Mar 12, 2024; 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.