Organization Active NPI

Olivia'S House, Inc.

  • Assisted Living Facility
  • Fairbanks, AK
National Provider Identifier
1922333228
Registry record updated Oct 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
100737 Issued in AK
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

Updated by the provider on Oct 5, 2009

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.