Hibiscus Assisted Living Home LLC

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

Legal business name

HIBISCUS ASSISTED LIVING HOME LLC

Practice address

2701 Wesleyan Dr # a
Anchorage, AK 99508-3771

Phone

(907) 306-3414

NPI assigned

Oct 26, 2017

Organization subpart

No

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

Authorized official

Name

Marie Aguilar

Title

President

Phone

(907) 306-3414

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508976000000",
    "number": "1982116281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 WESLEYAN DR # A",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995083771",
            "telephone_number": "907-306-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 WESLEYAN DR # A",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995083771",
            "telephone_number": "907-306-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIBISCUS ASSISTED LIVING HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-26",
        "last_updated": "2017-10-26",
        "status": "A",
        "authorized_official_last_name": "AGUILAR",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-306-3414"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annette M Hewitt, ANP
• Ethan Hewitt
• Josie Ellen Heyano
• Lydia Heyward
• Hi Southern Alaska, Inc.
• Candace D Hickel, PA-C
• Jack E Hickel, MD
• Jenna Hickel, RN
• Shawna Rene Hickel
• Kevin D Hickey

• Physical Disabilities Residential Treatment Facility in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Physical Disabilities Residential Treatment Facility in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; 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.