NPIMap

Organization Active NPI

Arctic Haven Assisted Living Home Inc

  • Assisted Living Facility
  • Anchorage, AK
National Provider Identifier
1902123508
Registry record updated Apr 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
936586 Issued in AK
Legal business name
ARCTIC HAVEN ASSISTED LIVING HOME INC
Practice address
3300 E 15TH Ave # 2
Anchorage, AK 99508-3005
Phone
(907) 258-0197
NPI assigned
Apr 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2010

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

Authorized official

Name
Mrs. Myla Gracia C Gatpandan, RN
Title
Pres - Administrator
Phone
(907) 240-7519

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 936586 AK Primary

Addresses

Primary practice location

3300 E 15TH Ave # 2
Anchorage, AK 99508-3005

Mailing address

3300 E 15TH Ave # 2
Anchorage, AK 99508-3005
Phone (907) 258-0197

Other identifiers 1

IdentifierTypeStateIssuer
RL 85611MedicaidAK

National Provider Directory

National Provider Directory
Tax ID family
Arctic Haven Alh Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271980800000",
    "number": "1902123508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 E 15TH AVE # 2",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995083005",
            "telephone_number": "907-258-0197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 E 15TH AVE # 2",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995083005",
            "telephone_number": "907-258-0197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCTIC HAVEN ASSISTED LIVING HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-23",
        "last_updated": "2010-04-23",
        "status": "A",
        "authorized_official_last_name": "GATPANDAN",
        "authorized_official_first_name": "MYLA GRACIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRES - ADMINISTRATOR",
        "authorized_official_telephone_number": "907-240-7519",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "936586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RL 85611",
            "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 Apr 23, 2010; 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.