GRACEFUL LIVING LLC NPI 1932379351

NPI Information

NPI: 1932379351
Provider Name: GRACEFUL LIVING LLC
Classification: Respite Care - 385H00000X
Entity Type: Organization
Address:
1100 FRIENDLY LN
6600 EAST 11TH AVE
ANCHORAGE, AK
ZIP 99504
Phone: (907) 338-0444
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GRACEFUL LIVING LLC is a respite care in Anchorage, AK. The provider is definition to come. GRACEFUL LIVING LLC NPI is 1932379351. The provider is registered as an organization entity type.

The provider's business location address is:

1100 FRIENDLY LN
6600 EAST 11TH AVE
ANCHORAGE, AK
ZIP 99504-024
Phone: (907) 338-0444
Fax: (907) 338-5768

The provider's authorized official is Christiana Ilosen Ulofoshio .
The authorized official title is Administrator and has the following contact phone number (907) 338-3135.

The enumeration date for this NPI number is 3/3/2008 and was last updated on 3/3/2008.

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	343900000X	Non-emergency Medical Transport (VAN)		34390000X	ALASKA	No
2	385HR2060X	Respite Care	Respite Care, Intellectual and/or Developmental Disabilities	385HR2060	ALASKA	No
3	344600000X	Taxi		3446OOOOX TAXI	ALASKA	No
4	385H00000X	Respite Care		385HR0000X	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	HC3704	MEDICAID	ALASKA
2	1548461445	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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