ROBIN MINGO (NPI# 1124652474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124652474 |
Entity Type | Individual |
Full Name | ROBIN MINGO |
Practice Address |
7750 W Golden Dr Wasilla AK 99623-9235 |
Practice Telephone | 9077157284 |
Practice Fax Number | 9073767215 |
Mailing Telephone | 9077157284 |
Mailing Fax Number | 9073767215 |
Enumeration Date | 2020-02-26 |
Last Update Date | 2020-02-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 376G00000X | Nursing Home Administrator | 100933 | AK | Nursing Service Related Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AK | ASSISGTED LIVING LICENSE | 100933 | 01 |
Street Address |
7750 W GOLDEN DR |
City | WASILLA |
State | AK |
Zip Code | 99623-9235 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689935777 | Dan & Robin Mingo Enterprises | Assisted Living Facility | 7750 W Golden Dr, Wasilla, AK 99623-9235 | 2012-06-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679104723 | Lisa Newell | Home Health Aide | 7945 S. Settlers Bay Dr, Wasilla, AK 99623 | 2020-01-28 |
1780238014 | Bradley Duke Ischinger | Physical Therapy Assistant | 6701 Blondell Drive, Wasilla, AK 99623 | 2019-07-25 |
1508423625 | Ramon Ortiz | Counselor | 3940 N. El Taino Circle, Wasilla, AK 99623 | 2019-05-23 |
1689239782 | Kristine Ione Bayne | Counselor | 2651 N. Thordore Dr, Wasilla, AK 99623 | 2019-05-03 |
1801450382 | Desiree Feringa | Case Manager/Care Coordinator | 6640 S Calista Drive, Wasilla, AK 99623 | 2019-04-30 |
1861966269 | Tina Renee Hopkins | Assisted Living Facility | 3471 W Wren St, Wasilla, AK 99623 | 2019-01-18 |
1801382981 | Jaimie M Church | Social Worker | 6100 W Robin Hood Lane, Wasilla, AK 99623 | 2018-07-02 |
1861935975 | Mat-su Valley IIi LLC | Clinic/Center | 5851 South Knik-goose Bay Road, Wasilla, AK 99623 | 2016-11-21 |
1972980639 | Jesika Harrell | Physician Assistant | 500 East Benson Blvd, Suite 103, Anchorage, AK 99623 | 2015-05-01 |
1497175418 | Mark Hull | Contractor | 1465 N Meadow Lakes Loop, Wasilla, AK 99623 | 2014-04-17 |
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Taxonomy Code | 376G00000X |
Grouping | Nursing Service Related Providers |
Classification | Nursing Home Administrator |
An individual, often licensed by the state, who is responsible for the management of a nursing home. |
Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations, and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL, 1994, p. 552. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013561950 | Michelle A Mcgraw | Nursing Home Administrator | 225 E Danna Ave, Wasilla, AK 99654-6421 | 2019-07-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861052326 | Wing and A Prayer Assisted Living | Nursing Home Administrator | 9036 Kruger Dr, Anchorage, AK 99502-5153 | 2019-06-17 |
1487111241 | Fe Comon | Nursing Home Administrator | 1841 E 57th Ave., 1841 E 57th Ave., Anchorage, AK 99507 | 2019-02-27 |
1386188720 | Matthew Jeselnik | Nursing Home Administrator | 1233 5th Ave, Fairbanks, AK 99701-4211 | 2016-12-04 |
1881146918 | Sienh Cindy Boutsomsi | Nursing Home Administrator | 1641 Cara Loop, Anchorage, AK 99515-3851 | 2016-10-24 |
1316204316 | Geraldine Turner | Nursing Home Administrator | 1111 Oceanview Dr, Anchorage, AK 99515-3906 | 2012-04-13 |
1154638914 | Vivian Oatman | Nursing Home Administrator | 8450 Golden St Apt 1, Anchorage, AK 99502-5238 | 2010-09-01 |
1689815748 | Marita Mendiola | Nursing Home Administrator | 5212 Lionheart Dr, Anchorage, AK 99508-2531 | 2009-03-18 |
1437318540 | Iluminada Lingad Ibay | Nursing Home Administrator | 7619 Winchester St, Anchorage, AK 99507-4814 | 2008-06-04 |
1922295773 | Irene Bulaong | Nursing Home Administrator | 1825 Adonis Dr, Anchorage, AK 99515-4511 | 2007-09-26 |
1477755213 | Mildred R Rapanot | Nursing Home Administrator | 9700 Poseidon Dr, Anchorage, AK 99515-4512 | 2007-06-04 |
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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.