STANNEALH INC. 2


Address: 7452 Nathan Dr, Anchorage, AK 99518-2864
Phone: 9073392338

STANNEALH INC. 2 (NPI# 1396963120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396963120
Entity Type Organization
Organization Name STANNEALH INC. 2
Practice Address 7452 Nathan Dr
Anchorage
AK 99518-2864
Mailing Address 9140 Shady Bay Cir
Anchorage
AK 99507-4917
Practice Telephone 9073392338
Enumeration Date 2007-04-24
Last Update Date 2020-08-22
Authorized Official Name LUISA ESTRELLA BURKE (ADMINISTRATOR)
Authorized Official Telephone 9073364010
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3104A0625X Assisted Living Facility
Specialization: Assisted Living, Mental Illness
000215 AK Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
AK RL12714 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1902929813 Stannealh Inc. 2 Residential Treatment Facility, Physical Disabilities 7452 Nathan Dr., Anchorage, AK 99518 2007-04-06

Office Location

Street Address 7452 NATHAN DR
City ANCHORAGE
State AK
Zip Code 99518-2864

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Taxonomy Information

Taxonomy Code 3104A0625X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility
Specialization Assisted Living, Mental Illness

Taxonomy Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
Notes: [7/1/2003: new]

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1942858782 My Home LLC Assisted Living Facility 6865 Viburnum Dr, Anchorage, AK 99507-2467 2019-08-26
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1629585229 Jessica Tiara Fulton Assisted Living Facility 1001 Cherry St Unit A, Anchorage, AK 99504-2230 2018-01-04
1881109767 Michael Anthony Brown Assisted Living Facility 7940 Little Dipper Ave, Anchorage, AK 99504-4125 2017-12-13
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Competitor

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City ANCHORAGE
Zip Code 99518

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Dataset Information

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.

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