IMMACULATED CONCEPCION (NPI# 1184111395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184111395 |
| Entity Type | Organization |
| Organization Name | IMMACULATED CONCEPCION |
| Practice Address |
1836 Laura Cir Anchorage AK 99508-3516 |
| Practice Telephone | 9073320158 |
| Practice Fax Number | 9073320158 |
| Mailing Telephone | 9073320158 |
| Mailing Fax Number | 9073320158 |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2018-04-13 |
| Authorized Official Name | JEANEPHERE LORENZANA (OWNER/ADMINISTRATOR) |
| Authorized Official Telephone | 9079037446 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | DRIVERS LICENSE | 7090913 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891906095 | Immaculated Concepcion | Assisted Living Facility | 1836 Laura Circle, Anchorage, AK 99508-3516 | 2007-05-27 |
| Street Address |
1836 LAURA CIR |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-3516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
| 1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
| 1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in zip 99508 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346870474 | Halo 'llc' | In Home Supportive Care | 5001 Arctic Blvd Ste 101, Anchorage, AK 99503-7068 | 2020-01-16 |
| 1619450236 | Act Care Providers LLC | In Home Supportive Care | 2907 Iris Dr, Anchorage, AK 99517-3288 | 2018-09-10 |
| 1003393356 | Sherab Tenzin | In Home Supportive Care | 4156 Checkmate Dr, Anchorage, AK 99508-5731 | 2018-07-19 |
| 1326593047 | Sdx Home Care Operations, LLC | In Home Supportive Care | 7985 E 16th Ave Ste 201, Anchorage, AK 99504-2896 | 2016-08-23 |
| 1003274978 | Williams Reid Alh | In Home Supportive Care | 1830 Twining Dr, Anchorage, AK 99504-3041 | 2016-02-05 |
| 1629499256 | Militello Family Care, LLC | In Home Supportive Care | 700 W 41st Ave, Suite 200, Anchorage, AK 99503-6603 | 2013-12-27 |
| 1104188473 | Midnight Sun Home Care Inc | In Home Supportive Care | 1023 E 6th Ave, Anchorage, AK 99501-2748 | 2012-06-13 |
| 1740552991 | Mcaleese Construction Inc. | In Home Supportive Care | 11420 Willene Dr, Anchorage, AK 99516-1387 | 2012-02-03 |
| 1669777637 | Executive Care LLC | In Home Supportive Care | 1113 W 32nd Ave # Ave, Anchorage, AK 99503-3728 | 2011-01-21 |
| 1114220233 | Yosef Family Home | In Home Supportive Care | 922 Cherry St, Anchorage, AK 99504-2229 | 2010-12-10 |
| 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.