Otter House LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

100983 Issued in AK

Legal business name

OTTER HOUSE LLC

Practice address

1503 Otter St
Anchorage, AK 99504-2540

Phone

(907) 947-1355

Fax

(907) 222-6553

NPI assigned

May 26, 2018

Organization subpart

No

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

Authorized official

Name

Ramona Lynne Stevens

Title

Administrator

Phone

(907) 947-1355

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1527292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527292800000",
    "number": "1922599844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 OTTER ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995042540",
            "telephone_number": "907-947-1355",
            "fax_number": "907-222-6553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 OTTER ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995042540",
            "telephone_number": "907-947-1355",
            "fax_number": "907-222-6553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTTER HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-26",
        "last_updated": "2018-05-26",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "RAMONA",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-947-1355"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "100983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sybil Otis, RN
• Kelly Maureen Ott, OTD, OTR/L
• Laurie Anne Ott, PA-C
• Lillian Otte
• Kailey Otten, MSW LCSW
• Lea Otto, LMT
• Christine Otutoa
• Joanna Oudal, APRN
• Daniel Ouellette, DPT
• Our Family Assisted Living Home

• Assisted Living Facility in Anchorage, AK
• Providers in Anchorage, 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 May 26, 2018; 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.