Organization Active NPI

Immaculated Concepcion

  • Non-emergency Medical Transport (VAN)
  • Anchorage, AK
National Provider Identifier
1891906095
Registry record updated Mar 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
7090913 Issued in AK
Legal business name
IMMACULATED CONCEPCION
Practice address
1836 Laura Circle
Anchorage, AK 99508-3516
Phone
(907) 332-0158
Fax
(907) 332-0958
NPI assigned
May 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2013

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

Authorized official

Name
Miss Jeanephere Hilario Lorenzana
Title
Administrator
Phone
(907) 332-0158

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 100549 AK
Non-emergency Medical Transport (VAN) 343900000X 7090913 AK Primary

Addresses

Primary practice location

1836 Laura Circle
Anchorage, AK 99508-3516

Mailing address

1836 Laura Circle
Anchorage, AK 99508-3516
Phone (907) 332-0158

Other identifiers 1

IdentifierTypeStateIssuer
RL 7902MedicaidAK

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1180224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364515200000",
    "number": "1891906095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 LAURA CIRCLE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995083516",
            "telephone_number": "907-332-0158",
            "fax_number": "907-332-0958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1836 LAURA CIRCLE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995083516",
            "telephone_number": "907-332-0158",
            "fax_number": "907-332-0958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMACULATED CONCEPCION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-27",
        "last_updated": "2013-03-29",
        "status": "A",
        "authorized_official_last_name": "LORENZANA",
        "authorized_official_first_name": "JEANEPHERE",
        "authorized_official_middle_name": "HILARIO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-332-0158",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "100549",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "AK",
            "license": "7090913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RL 7902",
            "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 Mar 29, 2013; 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.