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NANA'S HOUSE NPI 1295260404


NPI Information

NPI: 1295260404
Provider Name: NANA'S HOUSE

Doing Business As: NANA'S HOUSE ASSISTED LIVING HOME

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
8440 BLACKBERRY ST
ANCHORAGE, AK
ZIP 99502
Phone: (907) 360-2126
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NANA'S HOUSE is a community based residential treatment facility, intellectual and/or developmental disabilities in Anchorage, AK. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. NANA'S HOUSE NPI is 1295260404. The provider is registered as an organization entity type.
The provider Is Doing Business As Nana's House Assisted Living Home.

The provider's business location address is:

8440 BLACKBERRY ST
ANCHORAGE, AK
ZIP 99502-327
Phone: (907) 360-2126

The provider's authorized official is Letitia Wyche .
The authorized official title is Owner and has the following contact phone number (907) 360-2126.

The enumeration date for this NPI number is 4/25/2017 and was last updated on 4/25/2017.


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
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities101185ALASKAYes

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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