NORTHERN LIGHTHOUSE DAY CENTER (NPI# 1003035627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003035627 |
| Entity Type | Organization |
| Organization Name | NORTHERN LIGHTHOUSE DAY CENTER |
| Practice Address |
403 E 24th Ave Anchorage AK 99503-2107 |
| Mailing Address |
Po Box 241428 Anchorage AK 99524-1428 |
| Practice Telephone | 9073982939 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARY JO METTLER (ADMINISTRATOR) |
| Authorized Official Telephone | 9073982939 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385H00000X | Respite Care | NONE ISSUED BY S | AK | Respite Care Facility |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | HC0349 | 05 |
| Street Address |
403 E 24TH AVE |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99503-2107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020772 | Miladis Mcduffie | Massage Therapist | 1350 W. Northern Lights Blvd, Ste C, Anchorage, AK 99503 | 2020-10-15 |
| 1447804984 | Bethany Lynn Becker | Optometrist | 401 E. Northern Lights Blvd. Suite 102, Anchorage, AK 99503 | 2019-08-01 |
| 1265084933 | Carr-gottstein Foods Co | Durable Medical Equipment & Medical Supplies | 2920 Seward Hwy, Anchorage, AK 99503 | 2019-07-12 |
| 1982268942 | Rukiyia Smith | Behavior Technician | 205 E Northern Lights Blvd, Suite 110, Anchorage, AK 99503 | 2019-04-25 |
| 1245894310 | Mary Kathleen Tate | Specialist/Technologist | 205 E. Northern Lights Blvd, Suite 110, Anchorage, AK 99503 | 2019-04-24 |
| 1194295766 | Kimberly Sue Trent | Registered Nurse | 670 W. Fireweed Lane Suite 160, Anchorage, AK 99503 | 2018-11-27 |
| 1659869089 | Alaska Spine & Pain Center, LLC | Chiropractor | 3901 Old Seward Hwy Ste 11, Anchorage, AK 99503 | 2018-05-01 |
| 1235643123 | Rosanne Louise Klouda | Massage Therapist | 213 Fireweed Ln, Anchorage, AK 99503 | 2017-11-30 |
| 1801309042 | Online Care Group Alaska | General Practice | 200 W. 34th Ave, Anchorage, AK 99503 | 2017-11-09 |
| 1548773849 | Leslie K Michalski | Massage Therapist | 510 W Tudor Rd Ste 9, Anchorage, AK 99503 | 2017-11-08 |
| Find all providers in zip 99503 | ||||
| Taxonomy Code | 385H00000X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225668718 | Turnagain Assisted Living LLC. | Respite Care | 3406 Seppala Dr Unit B, Anchorage, AK 99517-1143 | 2020-01-23 |
| 1518500297 | Lamin St Jammeh | Respite Care | 7924 Parkway Dr, Anchorage, AK 99504-2840 | 2019-10-24 |
| 1548744469 | Independence Lodge, LLC | Respite Care | 6941 Stanley Dr, Anchorage, AK 99518-2163 | 2018-09-17 |
| 1255769899 | A Loving Care PCa | Respite Care | 343 W Benson Blvd Ste 4, Anchorage, AK 99503-3950 | 2013-10-17 |
| 1528358207 | Divine Mercy II Alh, LLC | Respite Care | 417 E 11th Ave Apt 5, Anchorage, AK 99501-4560 | 2011-04-14 |
| 1821299884 | Trinion Quality Care Services, Inc. | Respite Care | 3700 Woodland Dr., Suite 500, Anchorage, AK 99517-2567 | 2007-05-29 |
| 1619186145 | Pals Palace Assistant Living Home | Respite Care | 2220 E 53rd Ave, Anchorage, AK 99507-1661 | 2007-05-22 |
| 1902024177 | Alaska Care Group, Inc | Respite Care | 1199 E Dimond Blvd, Suite 101, Anchorage, AK 99515-2011 | 2007-04-23 |
| 1851514624 | Tlc Assisted Living Home | Respite Care | 2401 Oak Dr, Anchorage, AK 99508-3267 | 2007-04-10 |
| 1457473993 | Divine Mercy Alh, LLC | Respite Care | 3554 Newcomb Dr, Anchorage, AK 99508-4852 | 2007-04-04 |
| Find all providers in ANCHORAGE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.