FANCY MOOSE ANCHORAGE ALH (NPI# 1265854186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265854186 |
| Entity Type | Organization |
| Organization Name | FANCY MOOSE ANCHORAGE ALH |
| Practice Address |
705 W 47th Ave Anchorage AK 99503-7111 |
| Practice Telephone | 9076998581 |
| Enumeration Date | 2014-01-12 |
| Last Update Date | 2014-01-12 |
| Authorized Official Name | MATTHEW ALAN DOBBS (ADMINISTRATOR) |
| Authorized Official Telephone | 9076998581 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320700000X | Residential Treatment Facility, Physical Disabilities | 101034 | AK | Residential Treatment Facilities |
| Street Address |
705 W 47TH AVE |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99503-7111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003101825 | Rockingham Assisted Living, LLC | Assisted Living Facility | 705 W 47th Ave, Anchorage, AK 99503-7111 | 2011-06-09 |
| 1336560838 | Matthew Dobbs | Nursing Home Administrator | 705 W 47th Ave, Anchorage, AK 99503-7111 | 2013-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020772 | Miladis Mcduffie | Massage Therapist | 1350 W. Northern Lights Blvd, Ste C, Anchorage, AK 99503 | 2020-10-15 |
| 1447804984 | Bethany Lynn Becker | Optometrist | 401 E. Northern Lights Blvd. Suite 102, Anchorage, AK 99503 | 2019-08-01 |
| 1265084933 | Carr-gottstein Foods Co | Durable Medical Equipment & Medical Supplies | 2920 Seward Hwy, Anchorage, AK 99503 | 2019-07-12 |
| 1982268942 | Rukiyia Smith | Behavior Technician | 205 E Northern Lights Blvd, Suite 110, Anchorage, AK 99503 | 2019-04-25 |
| 1245894310 | Mary Kathleen Tate | Specialist/Technologist | 205 E. Northern Lights Blvd, Suite 110, Anchorage, AK 99503 | 2019-04-24 |
| 1194295766 | Kimberly Sue Trent | Registered Nurse | 670 W. Fireweed Lane Suite 160, Anchorage, AK 99503 | 2018-11-27 |
| 1659869089 | Alaska Spine & Pain Center, LLC | Chiropractor | 3901 Old Seward Hwy Ste 11, Anchorage, AK 99503 | 2018-05-01 |
| 1235643123 | Rosanne Louise Klouda | Massage Therapist | 213 Fireweed Ln, Anchorage, AK 99503 | 2017-11-30 |
| 1801309042 | Online Care Group Alaska | General Practice | 200 W. 34th Ave, Anchorage, AK 99503 | 2017-11-09 |
| 1548773849 | Leslie K Michalski | Massage Therapist | 510 W Tudor Rd Ste 9, Anchorage, AK 99503 | 2017-11-08 |
| Find all providers in zip 99503 | ||||
| Taxonomy Code | 320700000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Physical 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 |
|---|---|---|---|---|
| 1982116281 | Hibiscus Assisted Living Home LLC | Residential Treatment Facility, Physical Disabilities | 2701 Wesleyan Dr # A, Anchorage, AK 99508-3771 | 2017-10-26 |
| 1356850291 | The Anchor Alh, Inc.a | Residential Treatment Facility, Physical Disabilities | 2401 Oak Drive, Anchorage, AK 99508 | 2017-09-22 |
| 1376935353 | Annes Home Care | Residential Treatment Facility, Physical Disabilities | 3971 Defiance St., Anchorage, ALASKA 99504 | 2015-02-27 |
| 1730504564 | Heart and Harmony,alh,llc | Residential Treatment Facility, Physical Disabilities | 4939 Folker St, Unit A, Anchorage, AK 99507-1456 | 2014-03-03 |
| 1790021251 | Abra Assisted Living Home | Residential Treatment Facility, Physical Disabilities | 1609 Betula Circle Ave, Anchorage, AK 99507-4126 | 2013-01-02 |
| 1790035087 | Carmelite Home | Residential Treatment Facility, Physical Disabilities | 9401 Aphrodite Dr., Anchorage, AK 99515 | 2012-09-13 |
| 1215266986 | Heart of Alaska Homecare Alh | Residential Treatment Facility, Physical Disabilities | 3406 Mckenzie Dr, Anchorage, AK 99517-1653 | 2009-12-09 |
| 1386844355 | Twin Hearts Ale | Residential Treatment Facility, Physical Disabilities | 1111 Boston St, Anchorage, AK 99504-2015 | 2007-07-19 |
| 1790997948 | Helping Hands Alh Inc. | Residential Treatment Facility, Physical Disabilities | 3931 Laron Ln, Anchorage, AK 99504-4652 | 2007-05-03 |
| 1629299631 | Elena's Place I Corp. | Residential Treatment Facility, Physical Disabilities | 8551 Arctic Blvd, Anchorage, AK 99515-1708 | 2007-05-01 |
| Find all providers in ANCHORAGE | ||||
Please comment or provide details below to improve the information on FANCY MOOSE ANCHORAGE ALH.
| 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.