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NORTHSTAR ASSISTED LIVING INC. NPI 1215061205


NPI Information

NPI: 1215061205
Provider Name: NORTHSTAR ASSISTED LIVING, INC.

Doing Business As: RUTHIES ASSISTED LIVING

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
4070 S BIRCH COVE DR
WASILLA, AK
ZIP 99654
Phone: (907) 357-2019
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NORTHSTAR ASSISTED LIVING, INC. is an assisted living facility in Wasilla, 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. NORTHSTAR ASSISTED LIVING, INC. NPI is 1215061205. The provider is registered as an organization entity type.
The provider Is Doing Business As Ruthies Assisted Living.

The provider's business location address is:

4070 S BIRCH COVE DR
WASILLA, AK
ZIP 99654-456
Phone: (907) 357-2019

The provider's authorized official is Michael Allen Hervey .
The authorized official title is General Manager, President Ceo and has the following contact phone number (907) 357-2012.

The enumeration date for this NPI number is 3/14/2007 and was last updated on 8/22/2020.


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
1310400000XAssisted Living Facility000093ALASKAYes

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
1RL 5642MEDICAIDALASKA
2HC 5642MEDICAIDALASKA

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

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