NPIMap

Organization Active NPI

Sunset Development Co of Kodiak

  • Assisted Living Facility
  • Kodiak, AK
National Provider Identifier
1902920341
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
217 Issued in AK
Legal business name
SUNSET DEVELOPMENT CO OF KODIAK
Doing business as
Bayview Terrace
Practice address
309 Erskine Ave Apt 208
Kodiak, AK 99615-6390
Phone
(907) 481-1607
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lisa Ann Cooper
Title
Administrator
Phone
(907) 481-1607

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 217 AK Primary

Addresses

Primary practice location

309 Erskine Ave Apt 208
Kodiak, AK 99615-6390

Mailing address

309 Erskine Ave Apt 208
Kodiak, AK 99615-6390
Phone (907) 481-1607

Other identifiers 2

IdentifierTypeStateIssuer
RL9400MedicaidAK
HC9400MedicaidAK

Other names 1

  • Bayview Terrace Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bayview Terrace2 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.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902920341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 ERSKINE AVE APT 208",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996156390",
            "telephone_number": "907-481-1607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 ERSKINE AVE APT 208",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996156390",
            "telephone_number": "907-481-1607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSET DEVELOPMENT CO OF KODIAK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-481-1607"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RL9400",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HC9400",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayview Terrace",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kodiak, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.