National Provider Identifier Database

PARKSIDE ASSISTED LIVING INC ROSEWOOD
Respite Care


Contact Information

PARKSIDE ASSISTED LIVING INC ROSEWOOD
3722 PARSONS AVE
ANCHORAGE, AK99508-1216
Phone: 907-276-0103
Fax:
Website:
Specialty Taxonomy Code
* Respite Care 385H00000X
Assisted Living, Behavioral Disturbances 3104A0630X

* Indicates primary specialty

NPI Profile & details for PARKSIDE ASSISTED LIVING INC ROSEWOOD

NPI Number 1326267014
Legal business name
LBN
PARKSIDE ASSISTED LIVING INC ROSEWOOD
Authorized official LESLEE OREBAUGH - (ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 04/24/2007
Last updated 09/11/2025 - About 9 months ago
Sole proprietor1 Not specified
Identifiers
  • AK License #: 360595
  • AK Medicaid: HC3722
  • AK Medicaid: RL3722

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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