Jennifer Tyler

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

100651 Issued in AK

Legal business name

JENNIFER TYLER

Doing business as

Pathways Assisted Living Home

Practice address

45864 Inlet Breeze St
Kenai, AK 99611-9679

Phone

(907) 252-9947

Fax

(907) 335-2994

NPI assigned

Nov 27, 2007

Last updated

Jun 19, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Tyler

Title

Owner-President-Administrator

Phone

(907) 252-9947

Specialties & licenses 1

Addresses

Other names 1

• Pathways Assisted Living Home Doing business as

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1912188418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45864 INLET BREEZE ST",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996119679",
            "telephone_number": "907-252-9947",
            "fax_number": "907-335-2994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45864 INLET BREEZE ST",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996119679",
            "telephone_number": "907-252-9947",
            "fax_number": "907-335-2994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER TYLER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "TYLER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER-PRESIDENT-ADMINISTRATOR",
        "authorized_official_telephone_number": "907-252-9947"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "100651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pathways Assisted Living Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jac Enterprises, Inc. (Charis Place Assisted Living)
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• Amber Michele Johnson, FNP
• Venessa Grace Johnson
• Heather Lee Johnston
• Amanda Danielle Joos

• Assisted Living Facility in Kenai, AK
• Providers in Kenai, 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 Jun 19, 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.