Organization Active NPI

Sunshine Haven Assisted Living Home LLC

  • Custodial Care Facility
  • Anchorage, AK
National Provider Identifier
1942753454
Registry record updated Aug 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
License
1028643 Issued in AK
Legal business name
SUNSHINE HAVEN ASSISTED LIVING HOME LLC
Practice address
324 Dewey Cir
Anchorage, AK 99508-2235
Phone
(907) 887-4416
Fax
(907) 929-0342
NPI assigned
Aug 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2016

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

Authorized official

Name
Kulaea Siulua
Title
Owner
Phone
(907) 887-4416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X 1028643 AK Primary

Addresses

Primary practice location

324 Dewey Cir
Anchorage, AK 99508-2235

Mailing address

324 Dewey Cir
Anchorage, AK 99508-2235
Phone (907) 887-4416

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1470009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470009600000",
    "number": "1942753454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 DEWEY CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082235",
            "telephone_number": "907-887-4416",
            "fax_number": "907-929-0342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 DEWEY CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082235",
            "telephone_number": "907-887-4416",
            "fax_number": "907-929-0342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE HAVEN ASSISTED LIVING HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-01",
        "last_updated": "2016-08-01",
        "status": "A",
        "authorized_official_last_name": "SIULUA",
        "authorized_official_first_name": "KULAEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-887-4416"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "AK",
            "license": "1028643",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 1, 2016; 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.