OUR LADY OF FATIMA NPI 1073704102

NPI Information

NPI: 1073704102
Provider Name: OUR LADY OF FATIMA
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
4030 DEFIANCE ST
ANCHORAGE, AK
ZIP 99504
Phone: (907) 529-7495
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OUR LADY OF FATIMA 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. OUR LADY OF FATIMA NPI is 1073704102. The provider is registered as an organization entity type.

The provider's business location address is:

4030 DEFIANCE ST
ANCHORAGE, AK
ZIP 99504-368
Phone: (907) 529-7495

The provider's authorized official is Gina Gabat Nidoy .
The authorized official title is Owner and has the following contact phone number (907) 529-7495.

The enumeration date for this NPI number is 8/5/2007 and was last updated on 8/5/2007.

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
1	310400000X	Assisted Living Facility		100559	ALASKA	Yes

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
1	RL7080	MEDICAID	ALASKA

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: 11/14/2023

NPI Synchronization or Removal

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