ALASKA PREMIUM CARE INC NPI 1295092153

NPI Information

NPI: 1295092153
Provider Name: ALASKA PREMIUM CARE, INC

Doing Business As: THE COVE ASSISTED LIVING

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
2683 WESLEYAN DR
ANCHORAGE, AK
ZIP 99508
Phone: (907) 227-5306
Get Directions

ALASKA PREMIUM CARE, INC 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. ALASKA PREMIUM CARE, INC NPI is 1295092153. The provider is registered as an organization entity type.
The provider Is Doing Business As The Cove Assisted Living.

The provider's business location address is:

2683 WESLEYAN DR
ANCHORAGE, AK
ZIP 99508-700
Phone: (907) 227-5306
Fax: (907) 677-0433

The provider's authorized official is Jack Wayne Demoss .
The authorized official title is Ceo and has the following contact phone number (907) 223-2533.

The enumeration date for this NPI number is 4/17/2012 and was last updated on 9/5/2019.

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		RLX	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	1578224	MEDICAID	CALIFORNIA
2	1609011	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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