OLIVIA'S HOUSE, INC. (NPI# 1922333228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922333228 |
| Entity Type | Organization |
| Organization Name | OLIVIA'S HOUSE, INC. |
| Practice Address |
593 Goldstreak Rd Fairbanks AK 99712-2009 |
| Practice Telephone | 9074741030 |
| Practice Fax Number | 9074576232 |
| Mailing Telephone | 9074741030 |
| Mailing Fax Number | 9074576232 |
| Enumeration Date | 2009-10-05 |
| Last Update Date | 2009-10-05 |
| Authorized Official Name | MR. SEAN OLIVIER SIGH (TREASURER) |
| Authorized Official Telephone | 9074741030 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 100737 | AK | Nursing & Custodial Care Facilities |
| Street Address |
593 GOLDSTREAK RD |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99712-2009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295216687 | Janet Lynn Juenke | Massage Therapist | 615 O'leary Rd, Fairbanks, AK 99712 | 2018-08-24 |
| 1730618422 | Melody Waldroup | Massage Therapist | 845 Birch Hill Rd, Fairbanks, AK 99712 | 2017-06-07 |
| 1154715928 | Relax Your Mind, Body and Soul | Clinic/Center | 559 Golden Morn St, Fairbanks, AK 99712 | 2015-03-19 |
| 1295045508 | Kelly Eggleston | Case Manager/Care Coordinator | 764 Adventure Road, Fairbanks, AK 99712 | 2010-10-20 |
| 1588871628 | Country Estates Inc | Assisted Living Facility | 240 Peregrine Drive, Fairbanks, AK 99712 | 2007-05-17 |
| 1275754012 | Presbyterian Hospitality House | Residential Treatment Facility, Emotionally Disturbed Children | 7609 Chena Hot Springs Rd, Fairbanks, AK 99712 | 2007-05-01 |
| 1750717922 | Moveit Physical Therapy, LLC | Clinic/Center | 665 Aspen Heights Dr, Fairbanks, AK 99712-1111 | 2013-09-19 |
| 1144669052 | Jessica Revells | Occupational Therapy Assistant | 734 Manchester Loop, Fairbanks, AK 99712-1120 | 2013-06-25 |
| 1134455397 | Farmers Loop Home, LLC | Assisted Living Facility | 1002 Senate Loop, 1002 Senate Loop, Fairbanks, AK 99712-1130 | 2009-10-22 |
| 1417227752 | Viola L Mccain | Social Worker | 1335 Skyline Dr, Fairbanks, AK 99712-1151 | 2012-01-04 |
| Find all providers in zip 99712 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255961215 | Zachery Jones | Assisted Living Facility | 32 Craig Ave, Fairbanks, AK 99701-3527 | 2020-01-17 |
| 1457880064 | Frontier Assisted Living LLC | Assisted Living Facility | 1015 Evergreen St, Fairbanks, AK 99709-4306 | 2017-06-07 |
| 1497167894 | Borealis Assisted Living, LLC | Assisted Living Facility | 1521 Hilton Ave, Fairbanks, AK 99701-4015 | 2014-05-20 |
| 1174961668 | Hope Haven Assisted Living LLC | Assisted Living Facility | 1511 21st Ave, Fairbanks, AK 99701-6443 | 2013-06-06 |
| 1134455397 | Farmers Loop Home, LLC | Assisted Living Facility | 1002 Senate Loop, 1002 Senate Loop, Fairbanks, AK 99712-1130 | 2009-10-22 |
| 1588871628 | Country Estates Inc | Assisted Living Facility | 240 Peregrine Drive, Fairbanks, AK 99712 | 2007-05-17 |
| 1356555239 | Caring Bridges Assisted Living Home Inc | Assisted Living Facility | 107 7th Ave Unit1, Fairbanks, AK 99701-5063 | 2007-05-09 |
| 1891914453 | Rocking Years | Assisted Living Facility | 1913 Jack St, Fairbanks, AK 99709-4111 | 2007-04-24 |
| 1821217423 | Rocking Years Assisted Living II | Assisted Living Facility | 3291 Jefferson Dr, Fairbanks, AK 99709-5037 | 2007-04-24 |
| 1235353822 | Senior Quality Care, Inc. | Assisted Living Facility | 319 6th Ave, Fairbanks, AK 99701-5029 | 2007-04-13 |
| Find all providers in FAIRBANKS | ||||
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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.