Respect Your Elders

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

230512 Issued in AK

Legal business name

RESPECT YOUR ELDERS

Practice address

2301 Colleen St
Palmer, AK 99645

Phone

(907) 745-3687

Fax

(907) 746-3687

NPI assigned

Apr 10, 2007

Last updated

Jul 31, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Johnnie Davis

Title

Co-Owner

Phone

(907) 775-0345

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1952524779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2422",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "99645",
            "telephone_number": "907-745-3687",
            "fax_number": "907-746-3687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 COLLEEN ST",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "99645",
            "telephone_number": "907-745-3687",
            "fax_number": "907-746-3687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESPECT YOUR ELDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JOHNNIE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "907-775-0345",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "AK",
            "license": "230512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SERVICE PROVIDER #",
            "identifier": "HC6167",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leann Renick
• Micah David Renicker, MD
• Tatiana Repelin
• Residential Adults With Disabilities, LLC (Rad LLC)
• Resilience Behavioral Health Reach 907 (Reach 907)
• Alexandra Joseya Reyes
• Krystal Reyna, LMT
• Melissa Beth Reynerson, LMT, CYT, DOULA
• John Elliott Reynolds, DO
• Noah Timothy Tyler Richards, PTA

• Adult Day Care Clinic/Center in Palmer, AK
• Providers in Palmer, AK by specialty
• Adult Day Care Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.