MOUNTAINSIDE ASSISTED LIVING HOME (NPI# 1184047292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184047292 |
| Entity Type | Organization |
| Organization Name | MOUNTAINSIDE ASSISTED LIVING HOME |
| Practice Address |
633 5th St Douglas AK 99824-5512 |
| Practice Telephone | 9079886422 |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2015-01-10 |
| Authorized Official Name | MIAH LAGER (DESIGNEE) |
| Authorized Official Telephone | 9076356424 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | 101026 | AK | Agencies |
| Street Address |
633 5TH ST |
| City | DOUGLAS |
| State | AK |
| Zip Code | 99824-5512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316561509 | Juneau Youth Services, Inc. | Community/Behavioral Health | 1507 3rd St, Douglas, AK 99824 | 2020-06-03 |
| 1124584644 | Juneau Youth Services, Inc. | Community/Behavioral Health | 1507 3rd Street, Douglas, AK 99824 | 2019-02-20 |
| 1306131339 | Joanne Alcantara | Doula | 1506 2nd Street, Apt 4, Douglas, AK 99824 | 2011-06-17 |
| 1992034821 | David Lockard | Acupuncturist | 1502 2nd St #3, Douglas, AK 99824 | 2009-12-24 |
| 1124395306 | Mary Doris Fitzgerald | Counselor | 2130 Lawson Creek Rd, Douglas, AK 99824-5010 | 2011-11-16 |
| 1194195388 | Rebecca Sheeran | Massage Therapist | 2130 Lawson Creek Rd, Douglas, AK 99824-5010 | 2015-09-30 |
| 1972978492 | Douglas Island Girl LLC | Case Management | 2190 Lawson Creek Rd Apt B, Douglas, AK 99824-5028 | 2015-12-09 |
| 1285003897 | Andrea Kennedy Wilt Duncan | Massage Therapist | 1512 3rd St Apt 1, Douglas, AK 99824-5241 | 2015-09-24 |
| 1457839011 | Alix Christine Curtain | Nurse Practitioner | 615 5th St, Douglas, AK 99824-5512 | 2018-08-04 |
| 1811350903 | Raindrop Services LLC | Day Training, Developmentally Disabled Services | 625 5th St, Douglas, AK 99824-5512 | 2016-04-05 |
| Find all providers in zip 99824 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992842041 | Unison Behavioral Health | Day Training, Developmentally Disabled Services | 920 College Park Dr W, Douglas, GA 31533 | 2007-01-30 |
| 1811350903 | Raindrop Services LLC | Day Training, Developmentally Disabled Services | 625 5th St, Douglas, AK 99824-5512 | 2016-04-05 |
| 1780956458 | Coffee Cs Comp | Day Training, Developmentally Disabled Services | 920 College Park Dr W, Douglas, GA 31533-2124 | 2012-01-27 |
| 1881961357 | Lifenet | Day Training, Developmentally Disabled Services | 809 S 9th St, Douglas, WY 82633-2959 | 2011-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689282030 | Florence L Achwil | Day Training, Developmentally Disabled Services | 4423 E 6th Ave, Anchorage, AK 99508-2226 | 2020-07-21 |
| 1740843457 | Fe's Assisted Living Home | Day Training, Developmentally Disabled Services | 1841 E 57th Ave, Anchorage, AK 99507-1901 | 2019-04-18 |
| 1619432937 | Alaskan Red Assisted Living LLC | Day Training, Developmentally Disabled Services | 6291 Gross Dr, Anchorage, AK 99507-2059 | 2019-02-01 |
| 1184118366 | Clouds Rest Commons Inc | Day Training, Developmentally Disabled Services | 5772 E Morning Mist Dr, Palmer, AK 99645-9186 | 2018-06-20 |
| 1396243663 | Fritz Miller | Day Training, Developmentally Disabled Services | 43850 Ross Dr, Soldotna, AK 99669-6809 | 2018-01-31 |
| 1760902803 | Discovery Living LLC | Day Training, Developmentally Disabled Services | 16845 Eleonora St, Eagle River, AK 99577-7614 | 2017-06-20 |
| 1346633922 | Golden Hearts, Inc. | Day Training, Developmentally Disabled Services | 6401 Blackberry St, Anchorage, AK 99502-2135 | 2015-03-06 |
| 1639570203 | J&j Independent Living, LLC | Day Training, Developmentally Disabled Services | 165 E. Parks Hwy, Suite 106, Wasilla, AK 99654-3909 | 2014-09-14 |
| 1427354570 | Hope Community Resources, Inc. | Day Training, Developmentally Disabled Services | 8918 Juliana St, Anchorage, AK 99502-5563 | 2011-02-08 |
| 1881852663 | Morning Star Ranch | Day Training, Developmentally Disabled Services | 2757 College Rd, Fairbanks, AK 99709-3751 | 2008-05-28 |
| Find all providers with the same taxonomy | ||||
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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.