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PARKSIDE ASSISTED LIVING INC NPI 1508086604


NPI Information

NPI: 1508086604
Provider Name: PARKSIDE ASSISTED LIVING INC
Classification: Respite Care - 385H00000X
Entity Type: Organization
Address:
309 E 24TH AVE
ANCHORAGE, AK
ZIP 99503
Phone: (907) 276-0103
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PARKSIDE ASSISTED LIVING INC is a respite care in Anchorage, AK. The provider is definition to come. PARKSIDE ASSISTED LIVING INC NPI is 1508086604. The provider is registered as an organization entity type.

The provider's business location address is:

309 E 24TH AVE
ANCHORAGE, AK
ZIP 99503-105
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 4/30/2007 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
1385H00000XRespite Care112ALASKAYes

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
1HC3924MEDICAIDALASKA
2HC4132MEDICAIDALASKA

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.