ILUMINADA'S ASSISTED LIVING HOME


Address: 7619 Winchester St, Anchorage, AK 99507-4814
Phone: 9078682738

ILUMINADA'S ASSISTED LIVING HOME (NPI# 1588984447) 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) 1588984447
Entity Type Organization
Organization Name ILUMINADA'S ASSISTED LIVING HOME
Other Organization Name ILUMINADA'S ASSISTED LIVING HOME II
Practice Address 7619 Winchester St
Anchorage
AK 99507-4814
Mailing Address 7430 Randamar Pl
Anchorage
AK 99507-5720
Practice Telephone 9078682738
Practice Fax Number 9078682738
Mailing Telephone 9078682738
Mailing Fax Number 9078682738
Enumeration Date 2010-06-02
Last Update Date 2010-06-02
Authorized Official Name MRS. ILUMINADA LINGAD IBAY (ADMINISTRATOR)
Authorized Official Telephone 9078682738
Authorized Official Credential CNA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 347C00000X Private Vehicle 100681 AK Transportation Services

Other Provider/Organization Names

Other Name Type Code
Iluminada's Assisted Living Home II Other Name - Individual/Organization

Office Location

Street Address 7619 WINCHESTER ST
City ANCHORAGE
State AK
Zip Code 99507-4814

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437318540 Iluminada Lingad Ibay Nursing Home Administrator 7619 Winchester St, Anchorage, AK 99507-4814 2008-06-04

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1124634233 Mackena Elsie Johnson Massage Therapist Sports & Spinal Injury Clinic, 6634 Lake Otis Pkwy #a, Anchorage, AK 99507 2020-09-23
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1487111241 Fe Comon Nursing Home Administrator 1841 E 57th Ave., 1841 E 57th Ave., Anchorage, AK 99507 2019-02-27
1780171249 Carol Won Pharmacist 2550 E. 88th Ave., Anchorage, AK 99507 2018-04-19
1821549411 Isioma Nwaeme Registered Nurse 2529 Rives Court, Anchorage, AK 99507 2016-10-18
1669921268 Michaelyn Scott Massage Therapist 1601 E. Dimond Blvd., Suite 201, Anchorage, AK 99507 2016-09-25
1013387638 Robert R Croley Case Manager/Care Coordinator 1515 E Tudor Rd Ste 6, Anchorage, AK 99507 2015-09-25
1124494265 Ryan Scott Fordt Chiropractor 2665 E Tudor Rd Ste 201, Anchorage, AK 99507 2015-08-12
1073907465 Sarah E Lawrence Case Manager/Care Coordinator 1750 Abbott Road, Alzheimer's Resource of Alaska, Anchorage, AK 99507 2015-03-24
1699184507 Melissa Lingad Nurse's Aide 7691 Winchester St., Anchorage, AK 99507 2014-08-05
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Taxonomy Information

Taxonomy Code 347C00000X
Grouping Transportation Services
Classification Private Vehicle

Taxonomy Definition

An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497143564 Hilary Williams Private Vehicle 1004 W 75th Ave, Anchorage, AK 99518-2548 2014-12-24
1871821082 My Daughter and Me Assisted Living Home, Ltd. Private Vehicle 3408 N Star St, Anchorage, AK 99503-4539 2009-11-27
1619110004 My Daughter and Me Alh, II Private Vehicle 2202 Roosevelt Dr, Anchorage, AK 99517-3040 2009-04-14
1780715094 Last Frontier Assisted Living LLC Private Vehicle 404 East Fireweed Lane, #101, Anchorage, AK 99503 2007-03-08
1831423540 True Love Assisted Living Home, LLC Private Vehicle 8340 Northwood St, Anchorage, AK 99502-4663 2009-09-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1063741817 Kostas Taxi Service Private Vehicle 235 Lee Drive, Homer, AK 99603 2009-12-08
1811132327 Harbor Lights House Assisted Living, Inc. Private Vehicle 39326 Hallelujah Trail Drive, Soldotna, AK 99669 2008-12-12
1902022262 Harbor Lights House Assisted Living, Inc. Private Vehicle 39355 Dudley Ave, Soldotna, AK 99669-8603 2007-04-17
1487878237 Majestic View Assisted Living Inc Private Vehicle 1660 Race Rd, Homer, AK 99603-9328 2007-04-12
1205238060 Aurora Medical Transportation LLC Private Vehicle 2330 Old Richardson Hwy, North Pole, AK 99705-6017 2014-09-23
1427187434 Kat's Eldercare LLC Private Vehicle 53030 Aurora Ave., Kasilof, AK 99610 2007-03-05

Competitor

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City ANCHORAGE
Zip Code 99507

Improve Information

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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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