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ABBY ASSISTED LIVING LLC NPI 1093476947


NPI Information

NPI: 1093476947
Provider Name: ABBY ASSISTED LIVING LLC
Classification: Custodial Care Facility - 311Z00000X
Entity Type: Organization
Address:
1781 S ABBY BLVD
WASILLA, AK
ZIP 99654
Phone: (907) 306-4173
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ABBY ASSISTED LIVING LLC is a custodial care facility in Wasilla, AK. The provider is a facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. ABBY ASSISTED LIVING LLC NPI is 1093476947. The provider is registered as an organization entity type.

The provider's business location address is:

1781 S ABBY BLVD
WASILLA, AK
ZIP 99654-448
Phone: (907) 306-4173

The provider's authorized official is Jessica Fulton .
The authorized official title is Owner and has the following contact phone number (907) 306-4173.

The enumeration date for this NPI number is 1/4/2022 and was last updated on 1/4/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1311Z00000XCustodial Care FacilityYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11681005MEDICAIDALASKA
21724270MEDICAIDALASKA

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: 4/28/2024

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