National Provider Identifier Database

PROVIDENCE HEALTH SERVICES WASHINGTON
Assisted Living Facility

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.


Contact Information

PROVIDENCE HEALTH & SERVICES-WASHINGTON
3760 PIPER ST
SUITE 1061
ANCHORAGE, AK99508-4683
Phone: 907-212-0256
Fax: 907-212-6547
Website:
Specialty Taxonomy Code
* Assisted Living Facility 310400000X
Alzheimer Center /Dementia Center/Dementia Special Care Unit 311500000X
Respite Care 385H00000X

* Indicates primary specialty

NPI Profile & details for PROVIDENCE HEALTH & SERVICES-WASHINGTON

NPI Number 1952323859
Legal business name
LBN
PROVIDENCE HEALTH & SERVICES-WASHINGTON
Authorized official THERESA GLEASON - (INTERIM DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 07/23/2006
Last updated 08/21/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • AK License #: 279763
  • AK Medicaid: 1004814
  • AK Medicaid: 1030242
  • AK Medicaid: 1030243

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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