MARSHA SOMMERVILLE (NPI# 1932629508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932629508 |
| Entity Type | Individual |
| Full Name | MARSHA SOMMERVILLE |
| Practice Address |
7781 W Dean Dr Wasilla AK 99623-0824 |
| Mailing Address |
7362 W Parks Hwy # 638 Wasilla AK 99623-9300 |
| Practice Telephone | 9078411380 |
| Practice Fax Number | 9078411380 |
| Mailing Telephone | 9078411380 |
| Mailing Fax Number | 9073577887 |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2017-06-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | ASSISTED LIVING | 100183 | 01 |
| Street Address |
7781 W DEAN DR |
| City | WASILLA |
| State | AK |
| Zip Code | 99623-0824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700312790 | Windy Ridge Assisted Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7781 W Dean Dr, Wasilla, AK 99623-0824 | 2017-05-11 |
| 1598264715 | Lake Haven Homes, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7781 W Dean Dr, Wasilla, AK 99623-0824 | 2018-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679104723 | Lisa Newell | Home Health Aide | 7945 S. Settlers Bay Dr, Wasilla, AK 99623 | 2020-01-28 |
| 1780238014 | Bradley Duke Ischinger | Physical Therapy Assistant | 6701 Blondell Drive, Wasilla, AK 99623 | 2019-07-25 |
| 1508423625 | Ramon Ortiz | Counselor | 3940 N. El Taino Circle, Wasilla, AK 99623 | 2019-05-23 |
| 1689239782 | Kristine Ione Bayne | Counselor | 2651 N. Thordore Dr, Wasilla, AK 99623 | 2019-05-03 |
| 1801450382 | Desiree Feringa | Case Manager/Care Coordinator | 6640 S Calista Drive, Wasilla, AK 99623 | 2019-04-30 |
| 1861966269 | Tina Renee Hopkins | Assisted Living Facility | 3471 W Wren St, Wasilla, AK 99623 | 2019-01-18 |
| 1801382981 | Jaimie M Church | Social Worker | 6100 W Robin Hood Lane, Wasilla, AK 99623 | 2018-07-02 |
| 1861935975 | Mat-su Valley IIi LLC | Clinic/Center | 5851 South Knik-goose Bay Road, Wasilla, AK 99623 | 2016-11-21 |
| 1972980639 | Jesika Harrell | Physician Assistant | 500 East Benson Blvd, Suite 103, Anchorage, AK 99623 | 2015-05-01 |
| 1497175418 | Mark Hull | Contractor | 1465 N Meadow Lakes Loop, Wasilla, AK 99623 | 2014-04-17 |
| Find all providers in zip 99623 | ||||
| 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 |
|---|---|---|---|---|
| 1255813655 | O'bies Adobe, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1790 N Centurian Pl Apt 3, Wasilla, AK 99654-5470 | 2018-08-31 |
| 1700312790 | Windy Ridge Assisted Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7781 W Dean Dr, Wasilla, AK 99623-0824 | 2017-05-11 |
| 1730789033 | Inclusive Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4314 S Pinnacle Peak Dr, Wasilla, AK 99623-0707 | 2020-10-27 |
| 1598264715 | Lake Haven Homes, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7781 W Dean Dr, Wasilla, AK 99623-0824 | 2018-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376175075 | One Source Home Care Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9205 James Blvd Apt 102, Juneau, AK 99801-9671 | 2020-02-10 |
| 1467095836 | Birchwood Assisted Living Home, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19619 Crabtree St, Chugiak, AK 99567-5922 | 2019-10-17 |
| 1235770298 | Greater Works Caring Center, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3550 Airport Way Ste 203, Fairbanks, AK 99709-4772 | 2019-10-01 |
| 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 |
| 1255867263 | Montana Creek Assisted Living Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19205 E Future Rd, Talkeetna, AK 99676 | 2017-05-11 |
| 1053852061 | Birchtree Residential Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1220 N Winding Brook Loop, Palmer, AK 99645 | 2017-03-10 |
| 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 |
| 1477976561 | Horizon Assisted Living of Fairbanks LLC. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 821 17th Ave, Apt 122, Fairbanks, AK 99701-6150 | 2014-01-27 |
| Find all providers with the same taxonomy | ||||
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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.