AURORA BOREALIS ASSISTED LIVING HOME LLC (NPI# 1265717540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265717540 |
Entity Type | Organization |
Organization Name | AURORA BOREALIS ASSISTED LIVING HOME LLC |
Practice Address |
22179 North Birchwood Loop Chugiak AK 99567 |
Mailing Address |
Po Box 670030 Chugiak AK 99567-0030 |
Practice Telephone | 9076882283 |
Mailing Telephone | 9076882283 |
Enumeration Date | 2011-10-18 |
Last Update Date | 2011-10-18 |
Authorized Official Name | MS. POMPOSA LUCAS PORTERFIELD (ADMINISTRATOR) |
Authorized Official Telephone | 9076882283 |
Authorized Official Credential | CNA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 310400000X | Assisted Living Facility | 939279 | AK | Nursing & Custodial Care Facilities |
Street Address |
22179 NORTH BIRCHWOOD LOOP |
City | CHUGIAK |
State | AK |
Zip Code | 99567 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326552217 | Lilian Alison Crites-flesher | Massage Therapist | 21944 Rankin Rd, Chugiak, AK 99567 | 2017-11-30 |
1457886368 | Deborah Joyce Forcht | Nurse Practitioner | 22525 Ursa Major Circle, Chugiak, AK 99567 | 2017-04-28 |
1871976662 | Aurora Advocacy LLC | Case Management | 19991 Tulwar Drive, Chugiak, AK 99567 | 2015-06-30 |
1497028526 | Phillip D. Courtney | Contractor | 18708 Sue Tawn Drive, Chugiak, AK 99567 | 2012-02-21 |
1114184181 | Cs Wellness, LLC | Chiropractor | 20775 Old Glenn Highway, Chugiak, AK 99567 | 2008-05-19 |
1295909588 | Patricia Ann Morgan | Speech-Language Pathologist | 18618 Amonson Road, Chugiak, AK 99567 | 2008-04-17 |
1053505917 | Chugiak Volunteer Fire & Rescue Inc | Ambulance | 17214 Old Glenn Hwy, Chugiak, AK 99567 | 2007-09-04 |
1902020290 | Lorraine Fullbright | Case Manager/Care Coordinator | 18606 Old Glenn Highway, Chugiak, AK 99567 | 2007-04-11 |
1235273343 | Kirby W Holtman | Chiropractor | 20963 Bill Stephens Dr., Chugiak, AK 99567 | 2007-02-20 |
1811098353 | Orla William Karn | Dentist | 20905 Eastside Dr. D-1, Chugiak, AK 99567 | 2006-09-26 |
Find all providers in zip 99567 |
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] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578164042 | Liveable Soulutions | Assisted Living Facility | 1504 W 47th Ave Unit B, Anchorage, AK 99503-6924 | 2020-11-02 |
1699372656 | Kathleen Corleto | Assisted Living Facility | 3180 Amanda Gayle Cir, Anchorage, AK 99507-2602 | 2020-10-02 |
1336754969 | Snow City Assisted Living Home, LLC | Assisted Living Facility | 2634 Carroll Pl Unit B, Anchorage, AK 99508-3821 | 2020-09-10 |
1750991733 | Uba Alh | Assisted Living Facility | 6730 E 10th Ave, Anchorage, AK 99504-1814 | 2020-08-05 |
1184233116 | Mckinley Care LLC | Assisted Living Facility | 337 E 4th Ave Unit B, Anchorage, AK 99501-2664 | 2020-07-27 |
1154949949 | Patrick L Sullivan | Assisted Living Facility | 3314 Dickson Rd, Anchorage, AK 99504-4035 | 2020-07-08 |
1699392035 | Open Arms Assisted Living West LLC | Assisted Living Facility | 3660 W 78th Ave, Anchorage, AK 99502-4471 | 2020-07-01 |
1760004998 | Guardian Angel | Assisted Living Facility | 8403 Mentra St, Anchorage, AK 99518-2906 | 2020-05-11 |
1609400738 | Courtney Morrison | Assisted Living Facility | 119 Scow Bay Lp Rd, Petersburg, AK 99833-1556 | 2020-02-27 |
1235761230 | Golden Years LLC | Assisted Living Facility | 2941 Morgan Loop, Anchorage, AK 99516 | 2020-02-07 |
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.