National Provider Identifier Database

JEWEL LAKE ASSISTED LIVING HOME LLC
Nursing Home Administrator

An individual, often licensed by the state, who is responsible for the management of a nursing home.


Contact Information

JEWEL LAKE ASSISTED LIVING HOME LLC
4132 W 88TH AVE
ANCHORAGE, AK99502-5107
Phone: 907-250-4732
Fax: 907-245-0035
Website:
Specialty Taxonomy Code
* Nursing Home Administrator 376G00000X

* Indicates primary specialty

NPI Profile & details for JEWEL LAKE ASSISTED LIVING HOME LLC

NPI Number 1972472017
Legal business name
LBN
JEWEL LAKE ASSISTED LIVING HOME LLC
Authorized official EMELYN YOUNG - (ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 11/04/2025
Last updated 11/04/2025 - About 7 months ago
Sole proprietor1 Not specified
Identifiers n/a

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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