Organization Active NPI

Anchored Abode Assisted Living Home, LLC.

  • Assisted Living Facility (Mental Illness)
  • Anchorage, AK
National Provider Identifier
1982976395
Registry record updated Jan 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
License
100936 Issued in AK
Legal business name
ANCHORED ABODE ASSISTED LIVING HOME, LLC.
Practice address
3909 Turnagain Blvd E
Suite # 1
Anchorage, AK 99517-2417
Phone
(907) 733-4944
Fax
(907) 334-6424
NPI assigned
Jan 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2012

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

Authorized official

Name
Mr. Daniel R Stanton, B.S, CNMT, RT (N)
Title
Administrator / Owner
Phone
(907) 727-0322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X 100936 AK Primary

Addresses

Primary practice location

3909 Turnagain Blvd E
Suite # 1
Anchorage, AK 99517-2417

Mailing address

3909 Turnagain Blvd E
Suite # 1
Anchorage, AK 99517-2417
Phone (907) 733-4944

Other identifiers 1

IdentifierTypeStateIssuer
100936OtherAKASSISTED LIVING HOME LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1327968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327968000000",
    "number": "1982976395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3909 TURNAGAIN BLVD E",
            "address_2": "SUITE # 1",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995172417",
            "telephone_number": "907-733-4944",
            "fax_number": "907-334-6424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3909 TURNAGAIN BLVD E",
            "address_2": "SUITE # 1",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995172417",
            "telephone_number": "907-733-4944",
            "fax_number": "907-334-6424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCHORED ABODE ASSISTED LIVING HOME, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-31",
        "last_updated": "2012-01-31",
        "status": "A",
        "authorized_official_last_name": "STANTON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR / OWNER",
        "authorized_official_telephone_number": "907-727-0322",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.S, CNMT, RT (N)"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "AK",
            "license": "100936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSISTED LIVING HOME LICENSE",
            "identifier": "100936",
            "state": "AK"
        }
    ],
    "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 Jan 31, 2012; 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.