Organization Active NPI

Louisa'S Legacy

  • Case Management Agency
  • Anchorage, AK
National Provider Identifier
1992067912
Registry record updated Jun 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
LOUISA'S LEGACY
Practice address
555 W Northern Lights Blvd
#234
Anchorage, AK 99503-2501
Phone
(907) 771-4010
Fax
(907) 771-4020
NPI assigned
Jun 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2012

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

Authorized official

Name
Juan San Miguel, CCNPI 1710194709
Title
Owner/Operator
Phone
(907) 771-4010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

555 W Northern Lights Blvd
#234
Anchorage, AK 99503-2501

Mailing address

PO Box 230482
Anchorage, AK 99523-0482
Phone (907) 771-4010

National Provider Directory

National Provider Directory

Locations

555 W Northern Lights Blvd
#234
Anchorage, AK 99503
Phone (907) 771-4010

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339632000000",
    "number": "1992067912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 230482",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995230482",
            "telephone_number": "907-771-4010",
            "fax_number": "907-771-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 W NORTHERN LIGHTS BLVD",
            "address_2": "#234",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995032501",
            "telephone_number": "907-771-4010",
            "fax_number": "907-771-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISA'S LEGACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-14",
        "last_updated": "2012-06-14",
        "status": "A",
        "authorized_official_last_name": "SAN MIGUEL",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "907-771-4010",
        "authorized_official_credential": "CC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "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 Jun 14, 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.