Divine Hope Assisted Living Home. LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

DIVINE HOPE ASSISTED LIVING HOME. LLC

Practice address

5503 Sapphire Loop
Anchorage, AK 99504

Phone

(858) 506-0359

NPI assigned

Jan 21, 2022

Organization subpart

No

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

Authorized official

Name

Roman Basil

Title

Employee

Phone

(858) 506-0359

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642723200000",
    "number": "1962154831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5503 SAPPHIRE LOOP",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995046000",
            "telephone_number": "850-603-5933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5503 SAPPHIRE LOOP",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99504",
            "telephone_number": "858-506-0359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HOPE ASSISTED LIVING HOME. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-21",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A",
        "authorized_official_last_name": "BASIL",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_title_or_position": "EMPLOYEE",
        "authorized_official_telephone_number": "858-506-0359"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; 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.