CARMELITE HOME


Address: 9401 Aphrodite Dr., Anchorage, AK 99515
Phone: 9073361296

CARMELITE HOME (NPI# 1790035087) 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) 1790035087
Entity Type Organization
Organization Name CARMELITE HOME
Other Organization Name CARMELITE HOME
Practice Address 9401 Aphrodite Dr.
Anchorage
AK 99515
Practice Telephone 9073361296
Practice Fax Number 9073361298
Mailing Telephone 9073361296
Mailing Fax Number 9073361298
Enumeration Date 2012-09-13
Last Update Date 2012-09-13
Authorized Official Name AINA R FOWLER (ADMINISTRATOR/OWNER)
Authorized Official Telephone 9073361296
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320700000X Residential Treatment Facility, Physical Disabilities 100955 AK Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
AK HOME AND COMMUNITY BASED WAIVER PROGRAM RLX 01

Other Provider/Organization Names

Other Name Type Code
Carmelite Home Doing Business As Name - Organization

Other Data Sources

Entity Type Entity Name Entity Address
Indiana Business Entities CARMELITE HOME FOR BOYS ST JOSEPH'S HOME OF THE INFANT JESUS The Infant Jesus, Inc., 1230 Kavanaugh Place, Wauwatosa, WI 53213

Office Location

Street Address 9401 APHRODITE DR.
City ANCHORAGE
State AK
Zip Code 99515

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891293239 Above The Horizon LLC Custodial Care Facility 3300 Amber Bay Loop, Anchorage, AK 99515 2018-01-31
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1710433610 Yichen Chung Physical Therapist 9500 Canton Loop, Anchorage, AK 99515 2016-08-30
1093185175 Lemon Tree Family Medicine, LLC Family Medicine 621 W., Dimond Anchorage, AK 99515 2015-10-01
1861891285 Shawna J Mcelroy Physician Assistant 1389 Huffman Road, #150, Anchorage, AK 99515 2014-08-21
1003224189 Kelly Cutrer Pharmacist 12045 Brandon St, Anchorage, AK 99515 2014-08-01
1922419449 Shady Cook Case Manager/Care Coordinator 14041 Sunview Dr., Anchorage, AK 99515 2014-05-19
1699119941 Lezlee Henry-dupoux Social Worker 1221 Huffman Park Drive, Anchorage, AK 99515 2013-04-17
1982996344 Richard L Day, Dds, Apc Dentist 10998 Omalley Centre Dr., Suite A, Anchorage, AK 99515 2011-05-04
1285952549 Eberle Eyecare P.C. Optometrist 10998 O'malley Centre Drive, Suite B, Anchorage, AK 99515 2010-05-12
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Taxonomy Information

Taxonomy Code 320700000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Physical Disabilities

Taxonomy Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982116281 Hibiscus Assisted Living Home LLC Residential Treatment Facility, Physical Disabilities 2701 Wesleyan Dr # A, Anchorage, AK 99508-3771 2017-10-26
1356850291 The Anchor Alh, Inc.a Residential Treatment Facility, Physical Disabilities 2401 Oak Drive, Anchorage, AK 99508 2017-09-22
1376935353 Annes Home Care Residential Treatment Facility, Physical Disabilities 3971 Defiance St., Anchorage, ALASKA 99504 2015-02-27
1730504564 Heart and Harmony,alh,llc Residential Treatment Facility, Physical Disabilities 4939 Folker St, Unit A, Anchorage, AK 99507-1456 2014-03-03
1790021251 Abra Assisted Living Home Residential Treatment Facility, Physical Disabilities 1609 Betula Circle Ave, Anchorage, AK 99507-4126 2013-01-02
1215266986 Heart of Alaska Homecare Alh Residential Treatment Facility, Physical Disabilities 3406 Mckenzie Dr, Anchorage, AK 99517-1653 2009-12-09
1386844355 Twin Hearts Ale Residential Treatment Facility, Physical Disabilities 1111 Boston St, Anchorage, AK 99504-2015 2007-07-19
1790997948 Helping Hands Alh Inc. Residential Treatment Facility, Physical Disabilities 3931 Laron Ln, Anchorage, AK 99504-4652 2007-05-03
1629299631 Elena's Place I Corp. Residential Treatment Facility, Physical Disabilities 8551 Arctic Blvd, Anchorage, AK 99515-1708 2007-05-01
1750506358 Stannealh 1 Residential Treatment Facility, Physical Disabilities 9140 Shady Bay Cir, Anchorage, AK 99507-4917 2007-04-17
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Competitor

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City ANCHORAGE
Zip Code 99515

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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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