Organization Active NPI

Famacare LLC

Doing business as FamaCARE Homes

  • Assisted Living Facility (Behavioral Disturbances)
  • Anchorage, AK
National Provider Identifier
1912448069
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X
License
100912 Issued in AK
Legal business name
FAMACARE LLC
Doing business as
FamaCARE Homes
Practice address
10979 Retreat Cir
Anchorage, AK 99515-2449
Phone
(907) 727-3600
Fax
(907) 222-5427
NPI assigned
Mar 9, 2017
Last updated
Mar 9, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2017

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

Authorized official

Name
Modou Manneh
Title
Owner
Phone
(907) 727-3600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Behavioral Disturbances) 3104A0630X 100912 AK Primary
Assisted Living Facility (Behavioral Disturbances) 3104A0630X 101061 AK

Addresses

Primary practice location

10979 Retreat Cir
Anchorage, AK 99515-2449

Mailing address

10979 Retreat Cir
Anchorage, AK 99515-2449
Phone (907) 727-3600

Other names 1

  • FamaCARE Homes Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1489017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1912448069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10979 RETREAT CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995152449",
            "telephone_number": "907-727-3600",
            "fax_number": "907-222-5427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10979 RETREAT CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995152449",
            "telephone_number": "907-727-3600",
            "fax_number": "907-222-5427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMACARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-09",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "MANNEH",
        "authorized_official_first_name": "MODOU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-727-3600"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "AK",
            "license": "100912",
            "primary": true
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "AK",
            "license": "101061",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FamaCARE Homes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 9, 2017; 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.