NPIMap

Organization Active NPI

Saint Timothy Home III

  • Assisted Living Facility
  • Anchorage, AK
National Provider Identifier
1982979423
Registry record updated Mar 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SAINT TIMOTHY HOME III
Practice address
12363 Division St
Anchorage, AK 99515-3436
Phone
(907) 337-6364
Fax
(907) 338-6365
NPI assigned
Mar 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2012

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

Authorized official

Name
Mrs. Irene Cervas Escalante, NURSE
Title
Owner/Administrator
Phone
(907) 337-6364

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

12363 Division St
Anchorage, AK 99515-3436

Mailing address

11621 Nix CT
Anchorage, AK 99515-3409
Phone (907) 337-6364

Other names 1

  • Saint Timothy Home III Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Saint Timothy Home 13 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1331856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331856000000",
    "number": "1982979423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11621 NIX CT",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995153409",
            "telephone_number": "907-337-6364",
            "fax_number": "907-338-6365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12363 DIVISION ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995153436",
            "telephone_number": "907-337-6364",
            "fax_number": "907-338-6365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT TIMOTHY HOME III",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-16",
        "last_updated": "2012-03-16",
        "status": "A",
        "authorized_official_last_name": "ESCALANTE",
        "authorized_official_first_name": "IRENE",
        "authorized_official_middle_name": "CERVAS",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "907-337-6364",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NURSE"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saint Timothy Home III",
            "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 Mar 16, 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.