DIVINE MERCY ALH, LLC (NPI# 1457473993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457473993 |
| Entity Type | Organization |
| Organization Name | DIVINE MERCY ALH, LLC |
| Practice Address |
3554 Newcomb Dr Anchorage AK 99508-4852 |
| Practice Telephone | 9078688608 |
| Practice Fax Number | 9078688608 |
| Mailing Telephone | 9078688608 |
| Mailing Fax Number | 9078688608 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2011-09-23 |
| Authorized Official Name | ELIEZER PENTECOSTES (ADMINISTRATOR) |
| Authorized Official Telephone | 9078688608 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385H00000X | Respite Care | 100397 | AK | Respite Care Facility |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | HC2598 | 05 |
| Street Address |
3554 NEWCOMB DR |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-4852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 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 |
| 1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
| 1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in zip 99508 | ||||
| Taxonomy Code | 385H00000X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225668718 | Turnagain Assisted Living LLC. | Respite Care | 3406 Seppala Dr Unit B, Anchorage, AK 99517-1143 | 2020-01-23 |
| 1518500297 | Lamin St Jammeh | Respite Care | 7924 Parkway Dr, Anchorage, AK 99504-2840 | 2019-10-24 |
| 1548744469 | Independence Lodge, LLC | Respite Care | 6941 Stanley Dr, Anchorage, AK 99518-2163 | 2018-09-17 |
| 1255769899 | A Loving Care PCa | Respite Care | 343 W Benson Blvd Ste 4, Anchorage, AK 99503-3950 | 2013-10-17 |
| 1528358207 | Divine Mercy II Alh, LLC | Respite Care | 417 E 11th Ave Apt 5, Anchorage, AK 99501-4560 | 2011-04-14 |
| 1821299884 | Trinion Quality Care Services, Inc. | Respite Care | 3700 Woodland Dr., Suite 500, Anchorage, AK 99517-2567 | 2007-05-29 |
| 1619186145 | Pals Palace Assistant Living Home | Respite Care | 2220 E 53rd Ave, Anchorage, AK 99507-1661 | 2007-05-22 |
| 1003035627 | Northern Lighthouse Day Center | Respite Care | 403 E 24th Ave, Anchorage, AK 99503-2107 | 2007-04-24 |
| 1902024177 | Alaska Care Group, Inc | Respite Care | 1199 E Dimond Blvd, Suite 101, Anchorage, AK 99515-2011 | 2007-04-23 |
| 1851514624 | Tlc Assisted Living Home | Respite Care | 2401 Oak Dr, Anchorage, AK 99508-3267 | 2007-04-10 |
| 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.