Harbor Lights House Assisted Living, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

000249 Issued in AK

Legal business name

HARBOR LIGHTS HOUSE ASSISTED LIVING, INC.

Practice address

39355 Dudley Ave
Soldotna, AK 99669-8603

Phone

(907) 262-5355

NPI assigned

Apr 17, 2007

Organization subpart

No

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

Authorized official

Name

Joanne L Reed

Title

Administrator

Phone

(907) 262-5355

Specialties & licenses 2

Addresses

Other identifiers 2

Tax ID family

Harbor Lights House Assisted Living Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Harbor Lights House Assisted Living, Inc.

  • Adult Day Care Clinic/Center
  • Soldotna, AK
  • NPI 1811132327
  NPD tax ID

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251676800000",
    "number": "1902022262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39355 DUDLEY AVE",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996698603",
            "telephone_number": "907-262-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39355 DUDLEY AVE",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996698603",
            "telephone_number": "907-262-5355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR LIGHTS HOUSE ASSISTED LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2009-08-31",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-262-5355"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "000249",
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "AK",
            "license": "249",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HC6259",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RL6259",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Hanscom
• Wendy Marie Hansen-Newby, LMT
• Tobie Warren Hansen
• Martin B. Hanson
• Harbor Lights House Assisted Living, Inc.
• Griselda Harmon
• Timothy A Harries
• Angela Harter
• Jennifer Harvey-Kindred, RBT
• Krystin Harvey

• Assisted Living Facility in Soldotna, AK
• Providers in Soldotna, AK by specialty
• Assisted Living Facility in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; 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.