PROVIDENCE HEALTH & SERVICES-WASHINGTON NPI 1952323859

NPI Information

NPI: 1952323859
Provider Name: PROVIDENCE HEALTH & SERVICES-WASHINGTON

Doing Business As: PROVIDENCE HORIZON HOUSE

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
3760 PIPER ST
SUITE 1061
ANCHORAGE, AK
ZIP 99508
Phone: (907) 212-0256
Get Directions

PROVIDENCE HEALTH & SERVICES-WASHINGTON is an 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 need assistance and/or monitoring to assure safety and well being. PROVIDENCE HEALTH & SERVICES-WASHINGTON NPI is 1952323859. The provider is registered as an organization entity type.
The provider Is Doing Business As Providence Horizon House.

The provider's business location address is:

3760 PIPER ST
SUITE 1061
ANCHORAGE, AK
ZIP 99508-683
Phone: (907) 212-0256
Fax: (907) 212-6547

The provider's authorized official is Theresa Marie Gleason .
The authorized official title is Interim Director and has the following contact phone number (907) 261-4167.

The enumeration date for this NPI number is 7/23/2006 and was last updated on 8/21/2014.

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	License Number	License State	Primary
1	311500000X	Alzheimer Center (Dementia Center)	279763	ALASKA	No
2	385H00000X	Respite Care	279763	ALASKA	No
3	310400000X	Assisted Living Facility	279763	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
1	1030242	MEDICAID	ALASKA
2	1030243	MEDICAID	ALASKA
3	1004814	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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