ST MARY'S ASSISTED LIVING HOME #2 NPI 1073765244

NPI Information

  • NPI: 1073765244
  • Provider Name: ST MARY'S ASSISTED LIVING HOME #2
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 4001 E 3RD AVE
    ANCHORAGE, AK
    ZIP 99508
  • Phone: (907) 929-1588

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NPI Details

ST MARY'S ASSISTED LIVING HOME #2 is an assisted living facility in Anchorage, AK. The provider is 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. ST MARY'S ASSISTED LIVING HOME #2 NPI is 1073765244. The provider is registered as an organization entity type.

The provider's business location address is:

4001 E 3RD AVE
ANCHORAGE, AK
ZIP 99508-106
Phone: (907) 929-1588

The provider's authorized official is Teresa Parone Gauthier .
The authorized official title is Administrator and has the following contact phone number (907) 349-0446.

The enumeration date for this NPI number is 10/18/2008 and was last updated on 10/18/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living Facility100566ALASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1RL56791MEDICAIDALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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