NPIMap

Organization Active NPI

Graceful Living LLC

  • Respite Care
  • Anchorage, AK
National Provider Identifier
1932379351
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
License
385HR0000X Issued in AK
Legal business name
GRACEFUL LIVING LLC
Practice address
1100 Friendly LN
6600 East 11TH Ave
Anchorage, AK 99504-2024
Phone
(907) 338-0444
Fax
(907) 338-5768
NPI assigned
Mar 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Authorized official

Name
Christiana Ilosen Ulofoshio
Title
Administrator
Phone
(907) 338-3135

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 34390000X AK
Taxi 344600000X 3446OOOOX TAXI AK
Respite Care 385H00000X 385HR0000X AK Primary
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X 385HR2060 AK

Addresses

Primary practice location

1100 Friendly LN
6600 East 11TH Ave
Anchorage, AK 99504-2024

Mailing address

6300 E 9TH Ave
1100 Friendly Lane
Anchorage, AK 99504-1720
Phone (907) 338-3135

Other identifiers 2

IdentifierTypeStateIssuer
1548461445MedicaidAK
HC3704MedicaidAK

National Provider Directory

National Provider Directory
Tax ID family
Graceful Living LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1932379351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 E 9TH AVE",
            "address_2": "1100 FRIENDLY LANE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995041720",
            "telephone_number": "907-338-3135",
            "fax_number": "907-338-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 FRIENDLY LN",
            "address_2": "6600 EAST 11TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995042024",
            "telephone_number": "907-338-0444",
            "fax_number": "907-338-5768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFUL LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "ULOFOSHIO",
        "authorized_official_first_name": "CHRISTIANA",
        "authorized_official_middle_name": "ILOSEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-338-3135"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "AK",
            "license": "34390000X",
            "primary": false
        },
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": "AK",
            "license": "3446OOOOX TAXI",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "AK",
            "license": "385HR0000X",
            "primary": true
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "AK",
            "license": "385HR2060",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548461445",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HC3704",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 3, 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.