NPIMap

Organization Active NPI

Jewel Lake Assisted Living Home LLC

  • Nursing Home Administrator
  • Anchorage, AK
National Provider Identifier
1972472017
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Home AdministratorTaxonomy code 376G00000X
Legal business name
JEWEL LAKE ASSISTED LIVING HOME LLC
Practice address
4132 W 88TH Ave
Anchorage, AK 99502-5107
Phone
(907) 250-4732
Fax
(907) 245-0035
NPI assigned
Nov 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Authorized official

Name
Emelyn Young, LPNNPI 1700758679
Title
Administrator
Phone
(907) 250-4732

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Home AdministratorGroup: 193400000X SINGLE SPECIALTY GROUP 376G00000X Primary

Addresses

Primary practice location

4132 W 88TH Ave
Anchorage, AK 99502-5107

Mailing address

4132 W 88TH Ave
Anchorage, AK 99502-5107
Phone (907) 250-4732

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1762214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1972472017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4132 W 88TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995025107",
            "telephone_number": "907-250-4732",
            "fax_number": "907-245-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4132 W 88TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995025107",
            "telephone_number": "907-250-4732",
            "fax_number": "907-245-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWEL LAKE ASSISTED LIVING HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-04",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "EMELYN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-250-4732",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nursing Home Administrator",
            "state": null,
            "license": null,
            "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 Nov 4, 2025; 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.