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COLONY HOUSE INC. NPI 1215443379


NPI Information

NPI: 1215443379
Provider Name: COLONY HOUSE INC.

Doing Business As: COLONY HOUSE

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
2801 E BOGARD RD
WASILLA, AK
ZIP 99654
Phone: (907) 357-1850
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COLONY HOUSE 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. COLONY HOUSE INC. NPI is 1215443379. The provider is registered as an organization entity type.
The provider Is Doing Business As Colony House.

The provider's business location address is:

2801 E BOGARD RD
WASILLA, AK
ZIP 99654-014
Phone: (907) 357-1850
Fax: (907) 373-1820

The provider's authorized official is Nathan Dahl .
The authorized official title is Administrator and has the following contact phone number (907) 841-1217.

The enumeration date for this NPI number is 12/26/2017 and was last updated on 12/26/2017.


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 Facility000604ALASKAYes

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
11581371MEDICAIDALASKA

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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