Edgar Lattimores Assisted Living

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

100305 Issued in AK

Legal business name

EDGAR LATTIMORES ASSISTED LIVING

Practice address

6320 Mink Ave
Anchorage, AK 99504-2527

Phone

(907) 830-8365

NPI assigned

Aug 6, 2007

Organization subpart

No

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

Authorized official

Name

Edgar Lattimore

Title

Owner/ Administrator

Phone

(907) 830-8365

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186358400000",
    "number": "1962693812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320 MINK AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995042527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 MINK AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995042527",
            "telephone_number": "907-830-8365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGAR LATTIMORES ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2007-08-06",
        "status": "A",
        "authorized_official_last_name": "LATTIMORE",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_title_or_position": "OWNER/ ADMINISTRATOR",
        "authorized_official_telephone_number": "907-830-8365"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AK",
            "license": "100305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "94063",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Ecker
• Eclectic Physical Therapy
• Patricia Ann Eddy, LPN
• Vincent Eddy
• Eden Medical Associates, LLC
• William Edgar, MSN-RN
• Elizabeth Edge
• Kayden Edgeworth
• Edlex Medical Supply
• Lucinda L Edlund, C.R.N.A.

• Community/Behavioral Health Agency in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Community/Behavioral Health Agency in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; 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.