Active NPI
Olivia'S House, Inc.
- Assisted Living Facility
- Fairbanks, AK
National Provider Identifier
1922333228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 100737
- Legal business name
- OLIVIA'S HOUSE, INC.
- Practice address
- 593 Goldstreak Rd
Fairbanks, AK 99712-2009 - Phone
- (907) 474-1030
- Fax
- (907) 457-6232
- NPI assigned
- Oct 5, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Sean Olivier Sigh
- Title
- Treasurer
- Phone
- (907) 474-1030
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 100737 | AK | Primary |
Addresses
Primary practice location
593 Goldstreak Rd
Fairbanks, AK 99712-2009
Mailing address
593 Goldstreak Rd
Fairbanks, AK 99712-2009
Phone (907) 474-1030
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254700800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1254700800000",
"number": "1922333228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "593 GOLDSTREAK RD",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997122009",
"telephone_number": "907-474-1030",
"fax_number": "907-457-6232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "593 GOLDSTREAK RD",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997122009",
"telephone_number": "907-474-1030",
"fax_number": "907-457-6232"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OLIVIA'S HOUSE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-05",
"last_updated": "2009-10-05",
"status": "A",
"authorized_official_last_name": "SIGH",
"authorized_official_first_name": "SEAN",
"authorized_official_middle_name": "OLIVIER",
"authorized_official_title_or_position": "TREASURER",
"authorized_official_telephone_number": "907-474-1030",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "AK",
"license": "100737",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.