YUKON KOYUKUK ELDER ASSISTED LIVING CONSORTIUM (NPI# 1356630917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356630917 |
| Entity Type | Organization |
| Organization Name | YUKON KOYUKUK ELDER ASSISTED LIVING CONSORTIUM |
| Other Organization Name | YUKON KOYUKUK ELDER ASSISTED LIVING FACILITY |
| Practice Address |
2 1/4 Campion Road Galena AK 99741 |
| Mailing Address |
Po Box 189 Galena AK 99741-0189 |
| Practice Telephone | 9076562574 |
| Mailing Telephone | 9076562574 |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2011-04-05 |
| Authorized Official Name | MRS. NATALIE SOROCHUK (ADMINISTRATOR) |
| Authorized Official Telephone | 9076562574 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| YUKON KOYUKUK ELDER ASSISTED LIVING FACILITY | Doing Business As Name - Organization |
| Street Address |
2 1/4 CAMPION ROAD |
| City | GALENA |
| State | AK |
| Zip Code | 99741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043647894 | Nicole Gregory | Community Health Worker | 1/2 Mile Antoski Rd, Galena, AK 99741 | 2013-10-10 |
| 1053758920 | Clarice Joann Essex | Counselor | 77 Antoski Rd, Galena, AK 99741 | 2013-05-31 |
| 1902193162 | Tanya Jean Korta | Counselor | 77 Antoski Road, Galena, AK 99741 | 2011-07-07 |
| 1831497494 | Cecelia Ann Grant | Physician Assistant | 77 Antoski Drive, Galena, AK 99741 | 2011-03-07 |
| 1134373640 | Edger Nollner Health Center | Clinic/Center | 77 Antoski Ave., Galena, AK 99741 | 2008-11-11 |
| 1588273338 | Conor Daniel Cahalan | Physician Assistant | 77 Antoski Rd, Galena, AK 99741 | 2020-07-28 |
| 1740825884 | Tanana Chiefs Conference | Community/Behavioral Health | 77 Antoski Ave, Galena, AK 99741 | 2019-11-13 |
| 1629632039 | Jennessa Rose Miller | Behavioral Analyst | 77 Antoski Drive, Galena, AK 99741 | 2019-05-01 |
| 1811352297 | Ashley Lynn Burgett | Registered Nurse | 77 Antoski Rd, Galena, AK 99741 | 2015-12-29 |
| 1497818181 | Cathy Anne Desanto | Nurse Practitioner | 77 Antoski Ave, Galena, AK 99741-0000 | 2006-12-18 |
| Find all providers in zip 99741 | ||||
| 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.