Organization Active NPI

TLC Assisted Living Home

  • Assisted Living Facility
  • Anchorage, AK
National Provider Identifier
1851514624
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
738560 Issued in AK
Legal business name
TLC ASSISTED LIVING HOME
Practice address
2401 Oak Dr
Anchorage, AK 99508-3267
Phone
(907) 278-0308
Fax
(907) 278-0408
NPI assigned
Apr 10, 2007
Last updated
Jun 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Mrs. Wilma Eribal Tanner, LPN
Title
Administrator, Owner
Phone
(907) 441-9595

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 738560 AK Primary
Respite Care 385H00000X RL5743 AK

Addresses

Primary practice location

2401 Oak Dr
Anchorage, AK 99508-3267

Mailing address

2401 Oak Dr
Anchorage, AK 99508-3267
Phone (907) 278-0308

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1851514624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 OAK DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995083267",
            "telephone_number": "907-278-0308",
            "fax_number": "907-278-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 OAK DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995083267",
            "telephone_number": "907-278-0308",
            "fax_number": "907-278-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC ASSISTED LIVING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "TANNER",
        "authorized_official_first_name": "WILMA",
        "authorized_official_middle_name": "ERIBAL",
        "authorized_official_title_or_position": "ADMINISTRATOR, OWNER",
        "authorized_official_telephone_number": "907-441-9595",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "738560",
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "AK",
            "license": "RL5743",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.