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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers |
Street Address |
4121 CRANNOG ST |
City | ANCHORAGE |
State | AK |
Zip Code | 99502-5174 |
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 |
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 |
Find all providers in zip 99502 |
Taxonomy Code | 373H00000X |
Grouping | Nursing Service Related Providers |
Classification | Day Training/Habilitation Specialist |
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. |
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 |
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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.