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THE MARIETTA HOUSE NPI 1457717035


NPI Information

NPI: 1457717035
Provider Name: THE MARIETTA HOUSE
Classification: Residential Treatment Facility, Physical Disabilities - 320700000X
Entity Type: Organization
Address:
3832 YOUNG ST
ANCHORAGE, AK
ZIP 99508
Phone: (907) 222-1164
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THE MARIETTA HOUSE is a residential treatment facility physical disabilities in Anchorage, AK. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently. THE MARIETTA HOUSE NPI is 1457717035. The provider is registered as an organization entity type.

The provider's business location address is:

3832 YOUNG ST
ANCHORAGE, AK
ZIP 99508-548
Phone: (907) 222-1164
Fax: (907) 222-1164

The provider's authorized official is Alexander J Lomel .
The authorized official title is Owner and has the following contact phone number (907) 222-1164.

The enumeration date for this NPI number is 1/12/2016 and was last updated on 1/12/2016.


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
1320700000XResidential Treatment Facility, Physical Disabilities101094ALASKAYes

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
1RLXMEDICAIDALASKA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.