ABBA ASSISTED LIVING HOME, LLC. (NPI# 1619590833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619590833 |
| Entity Type | Organization |
| Organization Name | ABBA ASSISTED LIVING HOME, LLC. |
| Practice Address |
1616 Parkway Dr Anchorage AK 99504-2834 |
| Practice Telephone | 9075195067 |
| Mailing Telephone | 9075195067 |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2020-05-21 |
| Authorized Official Name | BERNADITH METUCUA LLOREN-PARIS (DESIGNEE) |
| Authorized Official Telephone | 9075195067 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
1616 PARKWAY DR |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99504-2834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164720629 | Krystle Velasco | Assisted Living Facility | 1616 Parkway Dr, Anchorage, AK 99504-2834 | 2011-03-08 |
| 1609410612 | Marian Grace Inobio Aspiras | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1616 Parkway Dr, Anchorage, AK 99504-2834 | 2019-11-01 |
| 1205209970 | Stefanie J Hall | Home Health Aide | 1616 Parkway Dr, Anchorage, AK 99504-2834 | 2015-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962011593 | Deyoung Dentistry, LLC | Clinic/Center | 2601 Boniface Parkway Suite 1, Anchorage, AK 99504 | 2020-07-29 |
| 1881257475 | Tirzah Shelton | Psychologist | Veteran Affairs Clinic, 1201 North Muldoon, Anchorage, AK 99504 | 2019-04-18 |
| 1831651652 | Mekennah Ward | Massage Therapist | 7731 Northern Lights Blvd, #220, Anchorage, AK 99504 | 2019-04-01 |
| 1952883266 | Quality & Quantity Care Services LLC | Custodial Care Facility | 848 Elaine Dr, Anchorage, Ak, 99504, The Same, Anchorage, AK 99504 | 2018-09-04 |
| 1659858587 | Chloe Janelle Escalante | Psychologist | 511 Oaklahoma St., Apt 2, Anchorage, AK 99504 | 2018-07-24 |
| 1184100141 | Haa LLC | Durable Medical Equipment & Medical Supplies | 1409 Twining Dr, Anchorage, AK 99504 | 2018-07-12 |
| 1831626225 | Christian Wilfred, Thomas Garrett | Social Worker | 1201 N Mulddon Rd, Anchorage, AK 99504 | 2017-05-16 |
| 1609309954 | Rowena R Jones | Assisted Living Facility | 4009 Scenic View, Anchorage, AK 99504 | 2017-04-04 |
| 1982156733 | Agape Care Coordination LLC | Case Manager/Care Coordinator | 2050 Paxson Dr., Anchorage, AK 99504 | 2016-10-27 |
| 1649626169 | Pa Lou Vang | Registered Nurse | 7404 E 4th Ave Unit B, Anchorage, AK 99504 | 2016-05-13 |
| Find all providers in zip 99504 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1366990202 | Sanctuary II Alh | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8901 Lakehurst Dr Unit A, Anchorage, AK 99502-5161 | 2016-09-20 |
| 1295282952 | Gary Jones | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6700 Rockridge Dr, Anchorage, AK 99516-1898 | 2016-09-09 |
| 1093120438 | Heart of Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7038 Peck Ave, Anchorage, AK 99504-1158 | 2014-06-24 |
| 1639412950 | Shellie Irene Hickok | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6074 Doncaster Dr, Anchorage, AK 99504-3234 | 2013-04-04 |
| 1770839110 | Ur Precious Assisted Living Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1925 Colony Pl, Anchorage, AK 99507-5395 | 2012-08-02 |
| 1790086247 | Assisted Living Transitions | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3154 Campbell Airstrip Rd, Anchorage, AK 99504-3828 | 2010-11-15 |
| 1710001706 | Personal Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2905 E 20th Ave, Anchorage, AK 99508-3304 | 2007-03-17 |
| 1295260404 | Nana's House | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8440 Blackberry St, Anchorage, AK 99502-5327 | 2017-04-25 |
| 1508189945 | Professional Care Service | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1743 Minerva Way, Same, Anchorage, AK 99515-1490 | 2010-03-11 |
| 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.