COZY ACRES LLC (NPI# 1093183279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093183279 |
| Entity Type | Organization |
| Organization Name | COZY ACRES LLC |
| Practice Address |
12528 Hawk Lane Houston AK 99694 |
| Mailing Address |
Po Box 520069 Big Lake AK 99652-0069 |
| Practice Telephone | 9078926944 |
| Practice Fax Number | 9078926945 |
| Mailing Telephone | 9078926944 |
| Mailing Fax Number | 9078926945 |
| Enumeration Date | 2015-09-04 |
| Last Update Date | 2015-09-04 |
| Authorized Official Name | LYNDA PLETTNER (PRESIDENT / ADMINISTRATOR) |
| Authorized Official Telephone | 9078926944 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 1025659 | AK | Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Cozy Acres LLC | 1033a Clark St, Santa Rosa, CA 95404 |
| Street Address |
12528 HAWK LANE |
| City | HOUSTON |
| State | AK |
| Zip Code | 99694 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154503688 | Lynda J Plettner | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12528 Hawk Lane, Houston, AK 99694-2528 | 2007-11-27 |
| 1164723516 | Jody Hall | Case Manager/Care Coordinator | 12528 Hawk Lane, Houston, AK 99694 | 2010-11-16 |
| 1598066938 | Stephen Phillip Geddes | Case Manager/Care Coordinator | 12528 Hawk Lane, Houston, AK 99694 | 2010-11-16 |
| 1639497415 | Big Lake Country Club, LLC | Case Management | 12528 Hawk Lane, Houston, AK 99694 | 2010-05-04 |
| 1932339942 | Big Lake Mental Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12528 Hawk Lane, Houston, AK 99694-2528 | 2009-07-24 |
| 1154580835 | Big Lake Country Club | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12528 Hawk Lane, Houston, AK 99694-2528 | 2008-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992132880 | Diane Marie Boyer-walker | Assisted Living Facility | 11269 Wasey Way, Houston, AK 99694 | 2013-10-09 |
| 1720369374 | Cheryl Lynne Page | Community Health Worker | 12370 W Bench Lake Dr, Houston, AK 99694 | 2011-09-08 |
| 1730388190 | Diane Marie Boyer | Home Health | 11269 West Wasey Way, Houston, AK 99694 | 2007-07-16 |
| 1841674082 | Courtney Hopkins | Case Manager/Care Coordinator | 11578 West Ballyshannon Dr., Houston, AK 99694-0133 | 2015-07-17 |
| 1851555007 | Teresa Ann Tangen | Case Manager/Care Coordinator | 12528 Hawk Ln, Houston, AK 99694-1252 | 2008-07-17 |
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
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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.