Arctic Rose Assisted Living Facility LLC

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

Legal business name

ARCTIC ROSE ASSISTED LIVING FACILITY LLC

Practice address

5291 N Honeysuckle LN
Wasilla, AK 99654-1400

Phone

(907) 917-4168

Fax

(855) 487-3308

NPI assigned

Sep 19, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Elisa V Winchester, LPN

Title

Administrator

Phone

(907) 917-4168

Specialties & licenses 1

Addresses

Other names 1

• Arctic Rose Assisted Living Facility LLC Former legal business name

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568851200000",
    "number": "1982254009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5291 N HONEYSUCKLE LN",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996541400",
            "telephone_number": "907-917-4168",
            "fax_number": "855-487-3308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5291 N HONEYSUCKLE LN",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996541400",
            "telephone_number": "907-917-4168",
            "fax_number": "855-487-3308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCTIC ROSE ASSISTED LIVING FACILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-19",
        "last_updated": "2019-09-19",
        "status": "A",
        "authorized_official_last_name": "WINCHESTER",
        "authorized_official_first_name": "ELISA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-917-4168",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arctic Rose Assisted Living Facility LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Robert Applebee
• Amy Aras
• Michael Gene Archer
• Arctic Pain Relief Center, LLC
• Arctic Physical Medicine Wasilla
• Alison Armour, NP
• Ethan J. Arndt, OD
• Catherine Anne Arrigo, CLMT
• Ann J-a Arrisi
• Evangeline Arsenault, LMT

• Assisted Living Facility (Behavioral Disturbances) in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Assisted Living Facility (Behavioral Disturbances) in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; 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.