Organization Active NPI

Let US Care Assisted Living Home

  • Assisted Living Facility
  • Fairbanks, AK
National Provider Identifier
1841327426
Registry record updated Jul 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
303745 Issued in AK
Legal business name
LET US CARE ASSISTED LIVING HOME
Practice address
3405 Sandvik St
Fairbanks, AK 99709-3904
Phone
(907) 452-5624
NPI assigned
Feb 28, 2007
Last updated
Jul 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2008

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

Authorized official

Name
Mrs. Marion Griffin
Title
Administrator
Phone
(907) 452-5624

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 303745 AK Primary

Addresses

Primary practice location

3405 Sandvik St
Fairbanks, AK 99709-3904

Mailing address

PO Box 83966
3405 Sandvik Street
Fairbanks, AK 99708-3966
Phone (907) 452-5624

Other identifiers 3

IdentifierTypeStateIssuer
FY 200612007OtherDHS & DSDS STATE OF AK
RL 4244MedicaidAK
216787OtherGRANT PROVIDER NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1841327426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 83966",
            "address_2": "3405 SANDVIK STREET",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997083966",
            "telephone_number": "907-452-5624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 SANDVIK ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997093904",
            "telephone_number": "907-452-5624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LET US CARE ASSISTED LIVING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "MARION",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-452-5624",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "303745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHS & DSDS STATE OF AK",
            "identifier": "FY 200612007",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RL 4244",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GRANT PROVIDER NUMBER",
            "identifier": "216787",
            "state": null
        }
    ],
    "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 Jul 25, 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.