HAPPY VALLEY ASSISTED LIVING LLC (NPI# 1619585692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619585692 |
| Entity Type | Organization |
| Organization Name | HAPPY VALLEY ASSISTED LIVING LLC |
| Practice Address |
69423 Seitz Ave Home 2 Ninilchik AK 99639 |
| Mailing Address |
Po Box 414 Anchor Point AK 99556-0414 |
| Practice Telephone | 9072995670 |
| Mailing Telephone | 9075673419 |
| Mailing Fax Number | 9072025169 |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2020-07-16 |
| Authorized Official Name | ERICA NELAND (OWNER) |
| Authorized Official Telephone | 9075673419 |
| Is Organization Subpart | Y |
| Parent Organization Name | HAPPY VALLEY ASSISTED LIVING LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | 183630 | 05 | |
| AK | 183635 | 05 |
| Other Name | Type Code |
|---|---|
| Happy Valley Assisted Living Home 2 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992245682 | Happy Valley Assisted Living LLC | Assisted Living Facility | 69423 Seitz Ave, Ninilchik, AK 99639 | 2017-03-01 |
| Street Address |
69423 SEITZ AVE HOME 2 |
| City | NINILCHIK |
| State | AK |
| Zip Code | 99639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992245682 | Happy Valley Assisted Living LLC | Assisted Living Facility | 69423 Seitz Ave, Ninilchik, AK 99639 | 2017-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285280784 | Zoe Dixon | Peer Specialist | 15765 Kingsley Rd, Ninilchik, AK 99639 | 2019-08-12 |
| 1518520188 | Robert Stark | Peer Specialist | 15765 Kingsley Rd., Ninilchik, AK 99639 | 2019-04-18 |
| 1497088769 | Kristina L Finkenbinder | Registered Nurse | 15910 Sterling Hwy, Ninilchik, AK 99639 | 2009-09-17 |
| 1679715577 | Catherine Pilibos West | Chiropractor | 15971 Sterling Highway, Ninilchik, AK 99639 | 2009-03-24 |
| 1316186281 | Ninilchik Family Dentistry P.C. | Dentist | 66334 Aspen St., Ninilchik, AK 99639 | 2009-02-17 |
| 1346260296 | Zestivinal Zoubek | Dentist | 66334 Aspen Av, Ninilchik, AK 99639 | 2006-07-20 |
| 1194388686 | Judith Annette Hubbard | Counselor | 15765 Kingsley Road, Ninilchik, AK 99639 | 2019-04-19 |
| 1669783676 | Carrie Ann Warren | Nurse Practitioner | 15765 Kingsley Road, Ninilchik, AK 99639 | 2010-06-24 |
| 1376812107 | Ella May Cooper-waldron | Nurse Practitioner | Mile 126.8 Sterling Hwy, Ninilchik, AK 99639-0093 | 2011-12-23 |
| 1093840324 | Ninilchik Senior Citizens, Inc. | Voluntary or Charitable | 66265 Aspen Ave, Ninilchik, AK 99639-0422 | 2007-02-23 |
| Find all providers in zip 99639 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376169300 | Second Chance Support Services LLC | Assisted Living Facility | 741 Irwin St, Anchorage, AK 99508-1252 | 2020-06-25 |
| 1841815321 | Crisalyn Buenarte Ruiz | Assisted Living Facility | 3541 Corona Cir, Anchorage, AK 99517-1486 | 2020-06-10 |
| 1942858782 | My Home LLC | Assisted Living Facility | 6865 Viburnum Dr, Anchorage, AK 99507-2467 | 2019-08-26 |
| 1699320127 | Wasilla Group Home LLC | Assisted Living Facility | 3660 W Lynn Dr, Wasilla, AK 99654-0949 | 2019-08-01 |
| 1750935433 | Mind and Soul Assisted Living, LLC | Assisted Living Facility | 6124 E 12th Ave # D2, Anchorage, AK 99504-2355 | 2019-07-30 |
| 1689131989 | Tara Walker | Assisted Living Facility | 7774 Cherrywood Cir, Anchorage, AK 99507-2973 | 2019-02-23 |
| 1861966269 | Tina Renee Hopkins | Assisted Living Facility | 3471 W Wren St, Wasilla, AK 99623 | 2019-01-18 |
| 1902381940 | Alkamba Marenah Enterprises, LLC | Assisted Living Facility | 1545 Demeure Pl, Anchorage, AK 99508-3164 | 2018-09-25 |
| 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 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on HAPPY VALLEY ASSISTED LIVING LLC.
| 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.