FORGET ME NOT CARE HOME (NPI# 1487294310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487294310 |
| Entity Type | Organization |
| Organization Name | FORGET ME NOT CARE HOME |
| Practice Address |
4519 W Amanda Dr Wasilla AK 99623-1046 |
| Mailing Address |
Po Box 871282 Wasilla AK 99687-1282 |
| Practice Telephone | 2087134603 |
| Mailing Telephone | 2087134603 |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2020-01-08 |
| Authorized Official Name | MARY A MILLER (ADMINISTRATOR) |
| Authorized Official Telephone | 2087134603 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0630X |
Assisted Living Facility Specialization: Assisted Living, Behavioral Disturbances |
Nursing & Custodial Care Facilities |
| Street Address |
4519 W AMANDA DR |
| City | WASILLA |
| State | AK |
| Zip Code | 99623-1046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063050516 | Mary Ann Miller | Assisted Living Facility | 4519 W Amanda Dr, Wasilla, AK 99623-1046 | 2019-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679104723 | Lisa Newell | Home Health Aide | 7945 S. Settlers Bay Dr, Wasilla, AK 99623 | 2020-01-28 |
| 1780238014 | Bradley Duke Ischinger | Physical Therapy Assistant | 6701 Blondell Drive, Wasilla, AK 99623 | 2019-07-25 |
| 1508423625 | Ramon Ortiz | Counselor | 3940 N. El Taino Circle, Wasilla, AK 99623 | 2019-05-23 |
| 1689239782 | Kristine Ione Bayne | Counselor | 2651 N. Thordore Dr, Wasilla, AK 99623 | 2019-05-03 |
| 1801450382 | Desiree Feringa | Case Manager/Care Coordinator | 6640 S Calista Drive, Wasilla, AK 99623 | 2019-04-30 |
| 1861966269 | Tina Renee Hopkins | Assisted Living Facility | 3471 W Wren St, Wasilla, AK 99623 | 2019-01-18 |
| 1801382981 | Jaimie M Church | Social Worker | 6100 W Robin Hood Lane, Wasilla, AK 99623 | 2018-07-02 |
| 1861935975 | Mat-su Valley IIi LLC | Clinic/Center | 5851 South Knik-goose Bay Road, Wasilla, AK 99623 | 2016-11-21 |
| 1972980639 | Jesika Harrell | Physician Assistant | 500 East Benson Blvd, Suite 103, Anchorage, AK 99623 | 2015-05-01 |
| 1497175418 | Mark Hull | Contractor | 1465 N Meadow Lakes Loop, Wasilla, AK 99623 | 2014-04-17 |
| Find all providers in zip 99623 | ||||
| Taxonomy Code | 3104A0630X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Behavioral Disturbances |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982254009 | Arctic Rose Assisted Living Facility LLC | Assisted Living Facility | 5291 N Honeysuckle Ln, Wasilla, AK 99654-1400 | 2019-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053886010 | Sunrise Community Living | Assisted Living Facility | 1707 Sunrise Dr, Anchorage, AK 99508-3347 | 2018-10-05 |
| 1124501200 | Feh's Humanitarina LLC | Assisted Living Facility | 2948 Kimberlie Ct, Anchorage, AK 99508-5331 | 2018-09-13 |
| 1629562897 | Lilyann's Home Care Inc. | Assisted Living Facility | 935 Norman St, Anchorage, AK 99504-1617 | 2018-06-20 |
| 1245728963 | Carolynn Smith | Assisted Living Facility | 11401 Thunderbrush Cir, Anchorage, AK 99516-1728 | 2018-04-27 |
| 1912448069 | Famacare LLC | Assisted Living Facility | 10979 Retreat Cir, Anchorage, AK 99515-2449 | 2017-03-09 |
| 1508302621 | Sauda's Helping Hands Assistant Living Home | Assisted Living Facility | 1735 Katrina Cir, Anchorage, AK 99508-3514 | 2017-01-12 |
| 1417304528 | Malupo's Haven Assisted Living Home LLC | Assisted Living Facility | 7221 Kiska Cir, Anchorage, AK 99504-3408 | 2016-05-18 |
| 1497945067 | Makupa Assisted Living Home | Assisted Living Facility | 8733 Runamark Place, B, Anchirage, AK 99502 | 2007-07-30 |
| 1437368412 | Golden Heart Alh | Assisted Living Facility | 2900 Aspen Dr, Anchorage, AK 99517-3253 | 2007-05-22 |
| 1720290786 | Turnagain Foster Home | Assisted Living Facility | 2812 West 29th Ave, Anchorage, AK 99517 | 2007-05-04 |
| 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.