ABRA ASSISTED LIVING HOME (NPI# 1063702546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063702546 |
| Entity Type | Organization |
| Organization Name | ABRA ASSISTED LIVING HOME |
| Practice Address |
1609 Betula Cir Cir Anchorage AK 99507-4126 |
| Mailing Address |
1609 Betula Circcle Anchorage AK 99507-4126 |
| Practice Telephone | 9075220564 |
| Practice Fax Number | 9079297793 |
| Mailing Telephone | 9075220564 |
| Mailing Fax Number | 9079297793 |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2011-04-18 |
| Authorized Official Name | MR. MERLO ISANG LLANEZA SR. (OWNER/ADMINITRATION) |
| Authorized Official Telephone | 9075220564 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 100875 | AK | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790021251 | Abra Assisted Living Home | Residential Treatment Facility, Physical Disabilities | 1609 Betula Circle Ave, Anchorage, AK 99507-4126 | 2013-01-02 |
| Street Address |
1609 BETULA CIR CIR |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99507-4126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003125493 | Merlo Isang Llaneza Sr. | Home Health Aide | 1609 Betula Cir, Anchorage, AK 99507-4126 | 2010-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634233 | Mackena Elsie Johnson | Massage Therapist | Sports & Spinal Injury Clinic, 6634 Lake Otis Pkwy #a, Anchorage, AK 99507 | 2020-09-23 |
| 1710599808 | Abracadabra Speech LLC | Speech-Language Pathologist | 6823 Tudor Road, Anchorage, AK 99507 | 2020-08-19 |
| 1487111241 | Fe Comon | Nursing Home Administrator | 1841 E 57th Ave., 1841 E 57th Ave., Anchorage, AK 99507 | 2019-02-27 |
| 1780171249 | Carol Won | Pharmacist | 2550 E. 88th Ave., Anchorage, AK 99507 | 2018-04-19 |
| 1821549411 | Isioma Nwaeme | Registered Nurse | 2529 Rives Court, Anchorage, AK 99507 | 2016-10-18 |
| 1669921268 | Michaelyn Scott | Massage Therapist | 1601 E. Dimond Blvd., Suite 201, Anchorage, AK 99507 | 2016-09-25 |
| 1013387638 | Robert R Croley | Case Manager/Care Coordinator | 1515 E Tudor Rd Ste 6, Anchorage, AK 99507 | 2015-09-25 |
| 1124494265 | Ryan Scott Fordt | Chiropractor | 2665 E Tudor Rd Ste 201, Anchorage, AK 99507 | 2015-08-12 |
| 1073907465 | Sarah E Lawrence | Case Manager/Care Coordinator | 1750 Abbott Road, Alzheimer's Resource of Alaska, Anchorage, AK 99507 | 2015-03-24 |
| 1699184507 | Melissa Lingad | Nurse's Aide | 7691 Winchester St., Anchorage, AK 99507 | 2014-08-05 |
| Find all providers in zip 99507 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457967481 | Marie Langley Assisted Living LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2201 W 48th Ave, Anchorage, AK 99517-3190 | 2020-09-15 |
| 1720640840 | De Band Global, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7121 Travis Cir, Anchorage, AK 99507-2573 | 2019-06-28 |
| 1154880706 | Mercy Guillema Sonza | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7522 Grey Wolf Cir, Anchorage, AK 99507-4803 | 2019-03-13 |
| 1376042127 | Happy House Alh | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1010 W 29th Pl, Anchorage, AK 99503-3744 | 2018-02-07 |
| 1386185551 | Letitia Wyche | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8440 Blackberry St, Anchorage, AK 99502-5327 | 2017-03-20 |
| 1366987000 | Benedict Assisted Living Home, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3511 Alamosa Dr, Anchorage, AK 99502-5222 | 2017-01-05 |
| 1265781306 | Helpful Hands | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2700 Abbey Ln, Anchorage, AK 99517-2163 | 2012-09-05 |
| 1124315080 | Cindy and Vics R & R, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 929 E 81st Ave, Anchorage, AK 99518-3151 | 2011-06-29 |
| 1043504608 | Romana II Alh L.L.C. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1023 E 28th Ave, Anchorage, AK 99508-3939 | 2011-06-01 |
| 1225368335 | Mam Jallow | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1493 Moss Creek Ave, Anchorage, AK 99507-3800 | 2010-01-12 |
| 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.