BENEDICT ASSISTED LIVING HOME, LLC (NPI# 1366987000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366987000 |
| Entity Type | Organization |
| Organization Name | BENEDICT ASSISTED LIVING HOME, LLC |
| Practice Address |
3511 Alamosa Dr Anchorage AK 99502-5222 |
| Practice Telephone | 9073500978 |
| Practice Fax Number | 9078652464 |
| Mailing Telephone | 9073500978 |
| Mailing Fax Number | 9078652464 |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2017-01-05 |
| Authorized Official Name | MRS. MARIA LIZA NARANJO CADAVOS (OWNER/DESIGNEE) |
| Authorized Official Telephone | 9073500978 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1039375 | AK | Residential Treatment Facilities |
| Street Address |
3511 ALAMOSA DR |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99502-5222 |
| 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 | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental 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 |
|---|---|---|---|---|
| 1457967481 | Marie Langley Assisted Living LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2201 W 48th Ave, Anchorage, AK 99517-3190 | 2020-09-15 |
| 1720640840 | De Band Global, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7121 Travis Cir, Anchorage, AK 99507-2573 | 2019-06-28 |
| 1154880706 | Mercy Guillema Sonza | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7522 Grey Wolf Cir, Anchorage, AK 99507-4803 | 2019-03-13 |
| 1376042127 | Happy House Alh | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1010 W 29th Pl, Anchorage, AK 99503-3744 | 2018-02-07 |
| 1386185551 | Letitia Wyche | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8440 Blackberry St, Anchorage, AK 99502-5327 | 2017-03-20 |
| 1265781306 | Helpful Hands | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2700 Abbey Ln, Anchorage, AK 99517-2163 | 2012-09-05 |
| 1124315080 | Cindy and Vics R & R, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 929 E 81st Ave, Anchorage, AK 99518-3151 | 2011-06-29 |
| 1043504608 | Romana II Alh L.L.C. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1023 E 28th Ave, Anchorage, AK 99508-3939 | 2011-06-01 |
| 1225368335 | Mam Jallow | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1493 Moss Creek Ave, Anchorage, AK 99507-3800 | 2010-01-12 |
| 1144459637 | St. Agnes Assisted Living Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7035 Redhawk Cir, Anchorage, AK 99507-5109 | 2009-07-07 |
| 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.