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PARKSIDE ASSISTED LIVING INC ROSEWOOD NPI 1326267014


NPI Information

NPI: 1326267014
Provider Name: PARKSIDE ASSISTED LIVING INC ROSEWOOD
Classification: Assisted Living Facility - 3104A0630X
Entity Type: Organization

Specialization: Assisted Living, Behavioral Disturbances

Address:
3722 PARSONS AVE
ANCHORAGE, AK
ZIP 99508
Phone: (907) 276-0103
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PARKSIDE ASSISTED LIVING INC ROSEWOOD is an assisted living and behavioral disturbances 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 exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors. PARKSIDE ASSISTED LIVING INC ROSEWOOD NPI is 1326267014. The provider is registered as an organization entity type.

The provider's business location address is:

3722 PARSONS AVE
ANCHORAGE, AK
ZIP 99508-216
Phone: (907) 276-0103

The provider's authorized official is Leslee Orebaugh .
The authorized official title is Administrator and has the following contact phone number (907) 276-0103.

The enumeration date for this NPI number is 4/24/2007 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
13104A0630XAssisted Living FacilityAssisted Living, Behavioral Disturbances360595ALASKAYes
2385H00000XRespite Care360595ALASKAX

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
1HC3722MEDICAIDALASKA
2RL3722MEDICAIDALASKA

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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