Organization Active NPI

JMR Manor

  • Assisted Living Facility
  • Anchorage, AK
National Provider Identifier
1982980827
Registry record updated Oct 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
100863 Issued in AK
Legal business name
JMR MANOR
Practice address
2121 E 73Rd Ave Unit B
Anchorage, AK 99507-2713
Phone
(907) 868-7747
NPI assigned
Oct 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2011

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

Authorized official

Name
Mr. Jun Mark J Robinson
Title
Administrator
Phone
(907) 351-5841

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 100863 AK Primary

Addresses

Primary practice location

2121 E 73Rd Ave Unit B
Anchorage, AK 99507-2713

Mailing address

11320 Willene Dr
Anchorage, AK 99516-1361
Phone (907) 351-5841

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1319414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319414400000",
    "number": "1982980827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11320 WILLENE DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995161361",
            "telephone_number": "907-351-5841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 E 73RD AVE UNIT B",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995072713",
            "telephone_number": "907-868-7747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JMR MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-24",
        "last_updated": "2011-10-24",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "JUN MARK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-351-5841",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "100863",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 24, 2011; 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.