GLORIA'S GOLDEN HEART ASSISTED LIVING, LLC (NPI# 1114150513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114150513 |
Entity Type | Organization |
Organization Name | GLORIA'S GOLDEN HEART ASSISTED LIVING, LLC |
Practice Address |
3713 Robin St Anchorage AK 99504-4674 |
Practice Telephone | 9073399198 |
Practice Fax Number | 9073399198 |
Mailing Telephone | 9073399198 |
Mailing Fax Number | 9073399198 |
Enumeration Date | 2009-09-01 |
Last Update Date | 2009-09-01 |
Authorized Official Name | MR. JOAQUIN MIGUEL BARBACHANO (MANAGER/CHIEF FINANCIAL OFFICER) |
Authorized Official Telephone | 9076229198 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
100488 | AK | Nursing & Custodial Care Facilities |
Street Address |
3713 ROBIN ST |
City | ANCHORAGE |
State | AK |
Zip Code | 99504-4674 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184102667 | Agape Love Assisted Living Home LLC | Assisted Living Facility | 3713 Robin St, Anchorage, AK 99504-4674 | 2018-08-06 |
1124518469 | Agapita Cadisal Llaneza | Home Health Aide | 3713 Robin St, Anchorage, AK 99504-4674 | 2018-05-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962011593 | Deyoung Dentistry, LLC | Clinic/Center | 2601 Boniface Parkway Suite 1, Anchorage, AK 99504 | 2020-07-29 |
1881257475 | Tirzah Shelton | Psychologist | Veteran Affairs Clinic, 1201 North Muldoon, Anchorage, AK 99504 | 2019-04-18 |
1831651652 | Mekennah Ward | Massage Therapist | 7731 Northern Lights Blvd, #220, Anchorage, AK 99504 | 2019-04-01 |
1952883266 | Quality & Quantity Care Services LLC | Custodial Care Facility | 848 Elaine Dr, Anchorage, Ak, 99504, The Same, Anchorage, AK 99504 | 2018-09-04 |
1659858587 | Chloe Janelle Escalante | Psychologist | 511 Oaklahoma St., Apt 2, Anchorage, AK 99504 | 2018-07-24 |
1184100141 | Haa LLC | Durable Medical Equipment & Medical Supplies | 1409 Twining Dr, Anchorage, AK 99504 | 2018-07-12 |
1831626225 | Christian Wilfred, Thomas Garrett | Social Worker | 1201 N Mulddon Rd, Anchorage, AK 99504 | 2017-05-16 |
1609309954 | Rowena R Jones | Assisted Living Facility | 4009 Scenic View, Anchorage, AK 99504 | 2017-04-04 |
1982156733 | Agape Care Coordination LLC | Case Manager/Care Coordinator | 2050 Paxson Dr., Anchorage, AK 99504 | 2016-10-27 |
1649626169 | Pa Lou Vang | Registered Nurse | 7404 E 4th Ave Unit B, Anchorage, AK 99504 | 2016-05-13 |
Find all providers in zip 99504 |
Taxonomy Code | 311ZA0620X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Custodial Care Facility |
Specialization | Adult Care Home |
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407476161 | Alaska Olive Care II, LLC | Custodial Care Facility | 708 N Bunn St, Anchorage, AK 99508-1695 | 2020-04-23 |
1952883266 | Quality & Quantity Care Services LLC | Custodial Care Facility | 848 Elaine Dr, Anchorage, Ak, 99504, The Same, Anchorage, AK 99504 | 2018-09-04 |
1649524182 | Anchorage Adult Day Services | Custodial Care Facility | 360 Boniface Parkway, Suite B8, Anchorage, AK 99504 | 2012-11-06 |
1245591940 | Kiwi Assisted Living Home IIi | Custodial Care Facility | 2948 Princeton Way, Anchorage, AK 99508-4479 | 2012-05-30 |
1932482619 | Elaine's Place | Custodial Care Facility | 1025 H St, Anchorage, AK 99501-3430 | 2011-09-20 |
1144509365 | Abuelita Alh, LLC | Custodial Care Facility | 1105 San Antonio St, Anchorage, AK 99508-2764 | 2011-08-04 |
1003090176 | Comfort Assisted Living Homes | Custodial Care Facility | 7370 Winchester St, Anchorage, AK 99507-2856 | 2007-12-24 |
1548461445 | Graceful Living LLC | Custodial Care Facility | 6300 E 9th Ave, Anchorage, AK 99504-1720 | 2007-05-29 |
1104957760 | Comfort Assisted Living Home | Custodial Care Facility | 7390 Winchester St, Anchorage, AK 99507-2856 | 2007-03-08 |
1942546155 | Alpine Assisted Living Home | Custodial Care Facility | 7951 Alpine View Cir, Anchorage, AK 99507-5707 | 2012-12-14 |
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.