AK NURTURED LIVING LLC (NPI# 1114431293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114431293 |
| Entity Type | Organization |
| Organization Name | AK NURTURED LIVING LLC |
| Practice Address |
17350 E Dorismae Cir Palmer AK 99645-7665 |
| Practice Telephone | 9077453550 |
| Mailing Telephone | 9077453550 |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2017-11-27 |
| Authorized Official Name | KELLY MACON (ADMIN/OWNER) |
| Authorized Official Telephone | 9079031930 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 101120 | AK | Nursing & Custodial Care Facilities |
| Street Address |
17350 E DORISMAE CIR |
| City | PALMER |
| State | AK |
| Zip Code | 99645-7665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295357135 | Kasey M Flintoft | Occupational Therapist | 7200 E. Jim Cottrell Cir, Palmer, AK 99645 | 2020-05-14 |
| 1629601471 | Courtney Randol | Licensed Practical Nurse | 14405 E Pace Dr., Palmer, AK 99645 | 2020-02-20 |
| 1689213092 | Valerie Anne Delaune | Acupuncturist | 9693 N. Little Otter Dr., Palmer, AK 99645 | 2020-01-02 |
| 1003464512 | Alaskan Sunrise Behavioral Health, L.L.C. | Clinic/Center | 14460 E. Pace Dr., Palmer, AK 99645 | 2019-08-28 |
| 1548814718 | Maple Springs of Palmer Snf Holdings, LLC | Skilled Nursing Facility | 12130 E Maple Springs Way, Palmer, AK 99645 | 2019-07-26 |
| 1952868655 | Carla Beth Kelly | Physical Therapist | 7200 Jim Cottrell Circle, Palmer, AK 99645 | 2019-02-28 |
| 1366938375 | Wendy S Page | Behavior Technician | 7200 E Jim Cottrell, Wasilla, AK 99645 | 2018-07-03 |
| 1154845170 | Sarah Elizabeth Gilliland | Occupational Therapist | 7200 E Jim Cottrell Circle, Palmer, AK 99645 | 2017-08-01 |
| 1558885137 | Garland Brooks | Massage Therapist | 1934 Prospect Dr, Palmer, AK 99645 | 2017-07-26 |
| 1386165009 | Sommer Dawn Nielsen | Massage Therapist | 3566 N Mars Ave., Palmer, AK 99645 | 2017-07-03 |
| Find all providers in zip 99645 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669930186 | Marcella Adrienne Foisy | Assisted Living Facility | 7310 E Riley Alexander Cir, Palmer, AK 99645-7725 | 2019-03-04 |
| 1720520026 | Two Sisters Too | Assisted Living Facility | 413 N. Tiffany Dr, Palmer, AK 99645 | 2016-11-17 |
| 1164788071 | Tranquility Manor Estates | Assisted Living Facility | 1950 Hemmer Road, Palmer, AK 99645 | 2012-04-04 |
| 1891088555 | Caroline A. Jeffords | Assisted Living Facility | 413 N Tiffany Dr, Palmer, AK 99645-8408 | 2011-05-27 |
| 1922311935 | Among Friends LLC | Assisted Living Facility | 6285 N Wolverine Rd, Palmer, AK 99645-8731 | 2010-07-19 |
| 1003093931 | Homestead Assisted Living | Assisted Living Facility | 17635 E Pine Needle Way, Palmer, AK 99645-8275 | 2008-01-22 |
| 1598974636 | Colony Manor Assisted Living Homes | Assisted Living Facility | 6801 Weswood Dr, Palmer, AK 99645 | 2007-05-22 |
| 1477671063 | Division of Alaskan Pioneer Homes | Assisted Living Facility | 250 East Fireweed, Palmer, AK 99645-6699 | 2007-03-26 |
| 1194840835 | Forrest L Charles | Assisted Living Facility | 10703 S Old Glenn Hwy, Palmer, AK 99645-8228 | 2007-03-20 |
| 1841324142 | Northstar Assisted Living | Assisted Living Facility | 1950 Hemmer Rd, Palmer, AK 99645 | 2007-03-16 |
| Find all providers in PALMER | ||||
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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.