HOMER SENIOR CITIZENS, INC. (NPI# 1982828224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982828224 |
Entity Type | Organization |
Organization Name | HOMER SENIOR CITIZENS, INC. |
Other Organization Name | FRIENDSHIP TERRACE ASSISTED LIVING |
Practice Address |
3935 Svedlund St Homer AK 99603-7673 |
Practice Telephone | 9072357655 |
Practice Fax Number | 9072353739 |
Mailing Telephone | 9072357655 |
Mailing Fax Number | 9072353739 |
Enumeration Date | 2007-04-11 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. FRED L LAU (ADMINISTRATOR) |
Authorized Official Telephone | 9072357655 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 310400000X | Assisted Living Facility | 000053 | AK | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AK | RL7789 | 05 |
Other Name | Type Code |
---|---|
Friendship Terrace Assisted Living | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710336086 | Homer Senior Citizens, Inc. | Skilled Nursing Facility | 3935 Svedlund St, Homer, AK 99603-7673 | 2016-06-08 |
1528284056 | Homer Senior Citizens, Inc. | Respite Care | 3935 Svedlund St, Homer, AK 99603-7673 | 2007-04-17 |
1235353970 | Homer Senior Citizens, Inc. | Clinic/Center | 3935 Svedlund St, Homer, AK 99603-7673 | 2007-04-12 |
Street Address |
3935 SVEDLUND ST |
City | HOMER |
State | AK |
Zip Code | 99603-7673 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710336086 | Homer Senior Citizens, Inc. | Skilled Nursing Facility | 3935 Svedlund St, Homer, AK 99603-7673 | 2016-06-08 |
1528284056 | Homer Senior Citizens, Inc. | Respite Care | 3935 Svedlund St, Homer, AK 99603-7673 | 2007-04-17 |
1235353970 | Homer Senior Citizens, Inc. | Clinic/Center | 3935 Svedlund St, Homer, AK 99603-7673 | 2007-04-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518572387 | Morgan Dwyer | Counselor | 51310 Timber Bay Ct, Homer, AK 99603 | 2020-09-09 |
1346859824 | John George Hetrick | Counselor | 51310 Timber Bay Ct., Homer, AK 99603 | 2020-07-30 |
1093352502 | Katieostrommd | Obstetrics & Gynecology | 205 W Fairview, Homer, AK 99603 | 2019-12-03 |
1023651965 | Melissa Elizabeth Malcolm | Physical Therapy Assistant | 4107 Hohe Ave, Homer, AK 99603 | 2019-10-23 |
1184143620 | Homer Birth and Wellness Center | Clinic/Center | 3902 Shelford Street, Homer, AK 99603 | 2017-09-15 |
1588913271 | Sharon Marie Gorman | Registered Nurse | 3959 Ben Walters, Homer, AK 99603 | 2012-09-10 |
1477802197 | Aldergrove Assisted Living | Community Based Residential Treatment Facility, Mental Illness | 41045 Denny Lane, Homer, AK 99603 | 2012-09-10 |
1194087551 | Stephen Michael Mueller | Pharmacist | 3858 Lake Street, Suite #5, Lakeside Mall, Homer, AK 99603 | 2012-06-12 |
1962778001 | Homer Dental Center Inc | Dentist | 4014 Lake St., Ste 210, Homer, AK 99603 | 2012-03-22 |
1346544368 | William R Easton | General Practice | 2495 Bayridge Rd, Homer, AK 99603 | 2011-01-05 |
Find all providers in zip 99603 |
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 |
---|---|---|---|---|
1801371927 | Skyline Assisted Living Home LLC | Assisted Living Facility | 63540 Skyline Dr, Homer, AK 99603-9333 | 2018-09-25 |
1124159967 | Lv Ark | Assisted Living Facility | 1152 Seabreeze Ct, Homer, AK 99603-7935 | 2007-03-07 |
1851923833 | Nordic Living | Assisted Living Facility | 4201 Kachemak Way, Homer, AK 99603-7144 | 2020-02-07 |
1659511301 | Fern Ridge Tlc | Assisted Living Facility | 40811 Mclay Road, Homer, AK 99603 | 2009-02-20 |
1962657940 | Laura L. Owens | Assisted Living Facility | 1136 Seabreeze Ct, Homer, AK 99603-7935 | 2008-11-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578164042 | Liveable Soulutions | Assisted Living Facility | 1504 W 47th Ave Unit B, Anchorage, AK 99503-6924 | 2020-11-02 |
1699372656 | Kathleen Corleto | Assisted Living Facility | 3180 Amanda Gayle Cir, Anchorage, AK 99507-2602 | 2020-10-02 |
1336754969 | Snow City Assisted Living Home, LLC | Assisted Living Facility | 2634 Carroll Pl Unit B, Anchorage, AK 99508-3821 | 2020-09-10 |
1750991733 | Uba Alh | Assisted Living Facility | 6730 E 10th Ave, Anchorage, AK 99504-1814 | 2020-08-05 |
1184233116 | Mckinley Care LLC | Assisted Living Facility | 337 E 4th Ave Unit B, Anchorage, AK 99501-2664 | 2020-07-27 |
1154949949 | Patrick L Sullivan | Assisted Living Facility | 3314 Dickson Rd, Anchorage, AK 99504-4035 | 2020-07-08 |
1699392035 | Open Arms Assisted Living West LLC | Assisted Living Facility | 3660 W 78th Ave, Anchorage, AK 99502-4471 | 2020-07-01 |
1760004998 | Guardian Angel | Assisted Living Facility | 8403 Mentra St, Anchorage, AK 99518-2906 | 2020-05-11 |
1609400738 | Courtney Morrison | Assisted Living Facility | 119 Scow Bay Lp Rd, Petersburg, AK 99833-1556 | 2020-02-27 |
1235761230 | Golden Years LLC | Assisted Living Facility | 2941 Morgan Loop, Anchorage, AK 99516 | 2020-02-07 |
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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.