NANA'S HOUSE (NPI# 1295260404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295260404 |
| Entity Type | Organization |
| Organization Name | NANA'S HOUSE |
| Other Organization Name | NANA'S HOUSE ASSISTED LIVING HOME |
| Practice Address |
8440 Blackberry St Anchorage AK 99502-5327 |
| Mailing Address |
7349 Branche Dr Anchorage AK 99518-2573 |
| Practice Telephone | 9073602126 |
| Mailing Telephone | 9073602126 |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2017-04-25 |
| Authorized Official Name | MS. LETITIA WYCHE (OWNER) |
| Authorized Official Telephone | 9073602126 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 101185 | AK | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Nana's House Assisted Living Home | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | NANA'S HOUSE | 1681 E Marrowstone Rd, Nordland, WA 98358 |
| New York State Corporations | NANA'S HOUSE CHILD CARE CENTER, INC. | P.o. Box 311, Liberty, Ny 12754 |
| Virginia Business Entities | Nana's House Childcare Inc. | 25679 Poland Road, Chantilly, Virginia 20152 |
| New York State Corporations | NANA'S HOUSE INC. | 14 Herkimer Street, Mastic, New York 11950 |
| Colorado Business Entities | Nana's House, LLC | 4727 South Urban Way, Morrison, CO 80465 |
| Street Address |
8440 BLACKBERRY ST |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99502-5327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386185551 | Letitia Wyche | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8440 Blackberry St, Anchorage, AK 99502-5327 | 2017-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073157897 | Thelma Desjarlais | Case Manager/Care Coordinator | 9201 Shorecrest Drive, Anchorage, AK 99502 | 2019-11-05 |
| 1659851038 | Vonice LLC | Pharmacy | 4311 W Lake Cir, Anchorage, AK 99502 | 2018-08-15 |
| 1447736798 | Kelly Wilson | Assisted Living Facility | 8848 Gloralee St, Anchorage, AK 99502 | 2018-07-18 |
| 1912405770 | In His Image LLC | Custodial Care Facility | 2253 Mistybrook Cir, Anchorage, AK 99502 | 2018-01-26 |
| 1316344963 | Alaska Regional Life Flight Corporation | Ambulance | 3474 Old International Airport Road, Anchorage, AK 99502 | 2014-11-25 |
| 1164827101 | Dante Kun | Counselor | 8000 West End Rd. (pt. Woronzof), Anchorage, AK 99502 | 2014-11-04 |
| 1407256357 | Kayli Ellingson | Pharmacist | 7020 Northwood Drive, 102, Anchorage, AK 99502 | 2014-08-28 |
| 1801168620 | Mckenzie Assisted Living | Clinic/Center | 8812 Hamlet Circle, 8812 Hamlet Circle, Anchorage, AK 99502 | 2012-02-09 |
| 1568623106 | South Anchorage Dental Clinic LLC | Dental Assistant | 9170 Jewel Lake Road, Suite 201, Anchorage, AK 99502 | 2008-06-17 |
| 1154580611 | Tonia Marie Taylor | Assisted Living Facility | 2821 Ruby Drive, Anchorage, AK 99502 | 2008-06-09 |
| Find all providers in zip 99502 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
| 1366990202 | Sanctuary II Alh | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8901 Lakehurst Dr Unit A, Anchorage, AK 99502-5161 | 2016-09-20 |
| 1295282952 | Gary Jones | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6700 Rockridge Dr, Anchorage, AK 99516-1898 | 2016-09-09 |
| 1093120438 | Heart of Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7038 Peck Ave, Anchorage, AK 99504-1158 | 2014-06-24 |
| 1639412950 | Shellie Irene Hickok | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6074 Doncaster Dr, Anchorage, AK 99504-3234 | 2013-04-04 |
| 1770839110 | Ur Precious Assisted Living Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1925 Colony Pl, Anchorage, AK 99507-5395 | 2012-08-02 |
| 1790086247 | Assisted Living Transitions | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3154 Campbell Airstrip Rd, Anchorage, AK 99504-3828 | 2010-11-15 |
| 1710001706 | Personal Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2905 E 20th Ave, Anchorage, AK 99508-3304 | 2007-03-17 |
| 1619590833 | Abba Assisted Living Home, LLC. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1616 Parkway Dr, Anchorage, AK 99504-2834 | 2020-05-21 |
| 1508189945 | Professional Care Service | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1743 Minerva Way, Same, Anchorage, AK 99515-1490 | 2010-03-11 |
| Find all providers in ANCHORAGE | ||||
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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.