Organization Active NPI

Assist Adult Care Facility, LLC

  • Assisted Living Facility
  • Anchorage, AK
National Provider Identifier
1861515173
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
436467 Issued in AK
Legal business name
ASSIST ADULT CARE FACILITY, LLC
Practice address
4830 Leah CT
Anchorage, AK 99508-3787
Phone
(907) 770-3787
Fax
(907) 337-1190
NPI assigned
Apr 10, 2007
Last updated
Jun 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
Angelo Medina Ocampo
Title
Designee Administrator
Phone
(907) 230-1065

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 436467 AK Primary

Addresses

Primary practice location

4830 Leah CT
Anchorage, AK 99508-3787

Mailing address

5950 Kody Dr
Anchorage, AK 99504-5307
Phone (907) 337-1190

Other identifiers 1

IdentifierTypeStateIssuer
RL 67411MedicaidAK

National Provider Directory

National Provider Directory

Locations

4830 Leah Ct
Anchorage, AK 99508
Phone (907) 770-3787

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": "1213920000000",
    "number": "1861515173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5950 KODY DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995045307",
            "telephone_number": "907-337-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4830 LEAH CT",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995083787",
            "telephone_number": "907-770-3787",
            "fax_number": "907-337-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSIST ADULT CARE FACILITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "OCAMPO",
        "authorized_official_first_name": "ANGELO",
        "authorized_official_middle_name": "MEDINA",
        "authorized_official_title_or_position": "DESIGNEE ADMINISTRATOR",
        "authorized_official_telephone_number": "907-230-1065"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "436467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RL 67411",
            "state": "AK"
        }
    ],
    "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 20, 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.