MR. LOTH SAYAVONG


Address: 4121 Crannog St, Anchorage, AK 99502-5174
Phone: 9078858420

MR. LOTH SAYAVONG (NPI# 1053942854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053942854
Entity Type Individual
Full Name MR. LOTH SAYAVONG
Practice Address 4121 Crannog St
Anchorage
AK 99502-5174
Mailing Address Po Box 231741
Anchorage
AK 99523-1741
Practice Telephone 9078858420
Practice Fax Number 9073367296
Mailing Telephone 9078858420
Enumeration Date 2020-01-30
Last Update Date 2020-01-30
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 373H00000X Day Training/Habilitation Specialist Nursing Service Related Providers

Office Location

Street Address 4121 CRANNOG ST
City ANCHORAGE
State AK
Zip Code 99502-5174

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710518303 Alaska Day Habilitation Services LLC Day Training, Developmentally Disabled Services 4121 Crannog St, Anchorage, AK 99502-5174 2020-02-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073157897 Thelma Desjarlais Case Manager/Care Coordinator 9201 Shorecrest Drive, Anchorage, AK 99502 2019-11-05
1659851038 Vonice LLC Pharmacy 4311 W Lake Cir, Anchorage, AK 99502 2018-08-15
1447736798 Kelly Wilson Assisted Living Facility 8848 Gloralee St, Anchorage, AK 99502 2018-07-18
1912405770 In His Image LLC Custodial Care Facility 2253 Mistybrook Cir, Anchorage, AK 99502 2018-01-26
1316344963 Alaska Regional Life Flight Corporation Ambulance 3474 Old International Airport Road, Anchorage, AK 99502 2014-11-25
1164827101 Dante Kun Counselor 8000 West End Rd. (pt. Woronzof), Anchorage, AK 99502 2014-11-04
1407256357 Kayli Ellingson Pharmacist 7020 Northwood Drive, 102, Anchorage, AK 99502 2014-08-28
1801168620 Mckenzie Assisted Living Clinic/Center 8812 Hamlet Circle, 8812 Hamlet Circle, Anchorage, AK 99502 2012-02-09
1568623106 South Anchorage Dental Clinic LLC Dental Assistant 9170 Jewel Lake Road, Suite 201, Anchorage, AK 99502 2008-06-17
1154580611 Tonia Marie Taylor Assisted Living Facility 2821 Ruby Drive, Anchorage, AK 99502 2008-06-09
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Taxonomy Information

Taxonomy Code 373H00000X
Grouping Nursing Service Related Providers
Classification Day Training/Habilitation Specialist

Taxonomy Definition

Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619596723 Ceara Streisel Day Training/Habilitation Specialist 7521 Brayton Dr # Na, Anchorage, AK 99507-2667 2020-04-09
1497381180 Eric Tyskiewicz Day Training/Habilitation Specialist 7521 Brayton Dr # Dra, Anchorage, AK 99507-2667 2020-03-13
1215536032 Garret Davidson Day Training/Habilitation Specialist 7521 Brayton Dr, Anchorage, AK 99507-2667 2020-10-22
1891394656 Felicidad Sails Day Training/Habilitation Specialist 7521 Brayton Dr, Anchorage, AK 99507-2667 2020-10-22
1104424324 Martika Timoteo Day Training/Habilitation Specialist 7521 Brayton Dr, Anchorage, AK 99507-2667 2020-10-09
1174120422 Coralie Passalacqua-santiago Day Training/Habilitation Specialist 7521 Brayton Dr, Anchorage, AK 99507-2667 2020-10-08
1255947370 Aneti Tapuolo Day Training/Habilitation Specialist 7521 Brayton Dr, Anchorage, AK 99507-2667 2020-09-23
1861008989 Darian Payne Day Training/Habilitation Specialist 7521 Brayton Dr, Anchorage, AK 99507-2667 2020-09-23
1467069500 Eunice Loy Day Training/Habilitation Specialist 7521 Brayton Dr, Anchorage, AK 99507-2667 2020-09-23
1811501141 Felicia Washington Day Training/Habilitation Specialist 7521 Brayton Dr, Anchorage, AK 99507-2667 2020-09-03
Find all providers in ANCHORAGE

Competitor

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City ANCHORAGE
Zip Code 99502

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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