Organization Active NPI

Michelle Bauer

Doing business as The Freedom Home

  • Assisted Living Facility
  • Anchorage, AK
National Provider Identifier
1982726402
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
420508 Issued in AK
Legal business name
MICHELLE BAUER
Doing business as
The Freedom Home
Practice address
9360 Campbell Terrace Dr
Anchorage, AK 99502-1550
Phone
(907) 770-7970
Fax
(907) 334-9863
NPI assigned
Apr 4, 2007
Last updated
Jun 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
Leroy Bauer
Title
Owner
Phone
(907) 301-0532

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 420508 AK Primary

Addresses

Primary practice location

9360 Campbell Terrace Dr
Anchorage, AK 99502-1550

Mailing address

9360 Campbell Terrace Dr
Anchorage, AK 99502-1550
Phone (907) 770-7970

Other names 1

  • The Freedom Home Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1982726402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9360 CAMPBELL TERRACE DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995021550",
            "telephone_number": "907-770-7970",
            "fax_number": "907-334-9863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9360 CAMPBELL TERRACE DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995021550",
            "telephone_number": "907-770-7970",
            "fax_number": "907-334-9863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE BAUER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "BAUER",
        "authorized_official_first_name": "LEROY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-301-0532"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "420508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Freedom Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 20, 2008; 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.