JC FAITH OPEN ARMS (NPI# 1982017711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982017711 |
| Entity Type | Organization |
| Organization Name | JC FAITH OPEN ARMS |
| Practice Address |
2517 W 67th Ave Anchorage AK 99502-2216 |
| Mailing Address |
Po Box 143043 Anchorage AK 99514-3043 |
| Practice Telephone | 9076020818 |
| Practice Fax Number | 9073322732 |
| Mailing Telephone | 9076020818 |
| Mailing Fax Number | 9073322732 |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2014-06-10 |
| Authorized Official Name | MRS. JOYCE MEWBORN (OWNER) |
| Authorized Official Telephone | 9076020818 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
3104A0625X | AK | Nursing & Custodial Care Facilities |
| Street Address |
2517 W 67TH AVE |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99502-2216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457544496 | We Care LLC | Assisted Living Facility | 2517 W 67th Ave, Anchorage, AK 99502-2216 | 2007-08-23 |
| 1407467905 | Sweetsuccessalh,llc | Home Health | 2517 W 67th Ave, Anchorage, AK 99502-2216 | 2020-08-10 |
| 1649688300 | Curtis Young Jr. | Technician | 2517 W 67th Ave, Anchorage, AK 99502 | 2014-07-25 |
| 1225446966 | Tangella Cross-young | Technician | 2517 W 67th Ave, Anchorage, AK 99502-2216 | 2014-07-25 |
| 1346664885 | Pandora Mewborn | Behavioral Analyst | 2517 W 67th Ave, Anchorage, AK 99502-2216 | 2014-02-04 |
| 1245653948 | James Mewborn | Behavioral Analyst | 2517 W 67th Ave, Anchorage, AK 99502-2216 | 2014-01-31 |
| 1336562032 | Stephen Hilson | Behavioral Analyst | 2517 W 67th Ave, Anchorage, AK 99502-2216 | 2014-01-31 |
| 1063835767 | Leah Williams | Behavioral Analyst | 2517 W 67th Ave, Anchorage, AK 99502-2216 | 2014-01-31 |
| 1477976280 | Saena Michael | Behavioral Analyst | 2517 W 67th Ave, Anchorage, AK 99502-2216 | 2014-01-30 |
| 1831512649 | Curliah Young | Behavioral Analyst | 2517 W 67th Ave, Anchorage, AK 99502-2216 | 2014-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073157897 | Thelma Desjarlais | Case Manager/Care Coordinator | 9201 Shorecrest Drive, Anchorage, AK 99502 | 2019-11-05 |
| 1659851038 | Vonice LLC | Pharmacy | 4311 W Lake Cir, Anchorage, AK 99502 | 2018-08-15 |
| 1447736798 | Kelly Wilson | Assisted Living Facility | 8848 Gloralee St, Anchorage, AK 99502 | 2018-07-18 |
| 1912405770 | In His Image LLC | Custodial Care Facility | 2253 Mistybrook Cir, Anchorage, AK 99502 | 2018-01-26 |
| 1316344963 | Alaska Regional Life Flight Corporation | Ambulance | 3474 Old International Airport Road, Anchorage, AK 99502 | 2014-11-25 |
| 1164827101 | Dante Kun | Counselor | 8000 West End Rd. (pt. Woronzof), Anchorage, AK 99502 | 2014-11-04 |
| 1407256357 | Kayli Ellingson | Pharmacist | 7020 Northwood Drive, 102, Anchorage, AK 99502 | 2014-08-28 |
| 1801168620 | Mckenzie Assisted Living | Clinic/Center | 8812 Hamlet Circle, 8812 Hamlet Circle, Anchorage, AK 99502 | 2012-02-09 |
| 1568623106 | South Anchorage Dental Clinic LLC | Dental Assistant | 9170 Jewel Lake Road, Suite 201, Anchorage, AK 99502 | 2008-06-17 |
| 1154580611 | Tonia Marie Taylor | Assisted Living Facility | 2821 Ruby Drive, Anchorage, AK 99502 | 2008-06-09 |
| Find all providers in zip 99502 | ||||
| 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 |
| 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 |
| 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 |
| 1740706548 | Susan Taylor-mclaughlin | Assisted Living Facility | 9113 Jewel Terrace St, Anchorage, AK 99502-5149 | 2017-08-15 |
| 1609309954 | Rowena R Jones | Assisted Living Facility | 4009 Scenic View, Anchorage, AK 99504 | 2017-04-04 |
| 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.