MAM JALLOW (NPI# 1225368335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225368335 |
| Entity Type | Individual |
| Full Name | MAM JALLOW |
| Practice Address |
1493 Moss Creek Ave Anchorage AK 99507-3800 |
| Mailing Address |
1010 W 29th Pl Anchorage AK 99503-3744 |
| Practice Telephone | 9079295620 |
| Mailing Telephone | 9072230251 |
| Enumeration Date | 2010-01-12 |
| Last Update Date | 2018-02-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 938082 | AK | Residential Treatment Facilities |
| Y | 320700000X | Residential Treatment Facility, Physical Disabilities | Residential Treatment Facilities |
| Street Address |
1493 MOSS CREEK AVE |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99507-3800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634233 | Mackena Elsie Johnson | Massage Therapist | Sports & Spinal Injury Clinic, 6634 Lake Otis Pkwy #a, Anchorage, AK 99507 | 2020-09-23 |
| 1710599808 | Abracadabra Speech LLC | Speech-Language Pathologist | 6823 Tudor Road, Anchorage, AK 99507 | 2020-08-19 |
| 1487111241 | Fe Comon | Nursing Home Administrator | 1841 E 57th Ave., 1841 E 57th Ave., Anchorage, AK 99507 | 2019-02-27 |
| 1780171249 | Carol Won | Pharmacist | 2550 E. 88th Ave., Anchorage, AK 99507 | 2018-04-19 |
| 1821549411 | Isioma Nwaeme | Registered Nurse | 2529 Rives Court, Anchorage, AK 99507 | 2016-10-18 |
| 1669921268 | Michaelyn Scott | Massage Therapist | 1601 E. Dimond Blvd., Suite 201, Anchorage, AK 99507 | 2016-09-25 |
| 1013387638 | Robert R Croley | Case Manager/Care Coordinator | 1515 E Tudor Rd Ste 6, Anchorage, AK 99507 | 2015-09-25 |
| 1124494265 | Ryan Scott Fordt | Chiropractor | 2665 E Tudor Rd Ste 201, Anchorage, AK 99507 | 2015-08-12 |
| 1073907465 | Sarah E Lawrence | Case Manager/Care Coordinator | 1750 Abbott Road, Alzheimer's Resource of Alaska, Anchorage, AK 99507 | 2015-03-24 |
| 1699184507 | Melissa Lingad | Nurse's Aide | 7691 Winchester St., Anchorage, AK 99507 | 2014-08-05 |
| Find all providers in zip 99507 | ||||
| Taxonomy Code | 320700000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Physical Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982116281 | Hibiscus Assisted Living Home LLC | Residential Treatment Facility, Physical Disabilities | 2701 Wesleyan Dr # A, Anchorage, AK 99508-3771 | 2017-10-26 |
| 1356850291 | The Anchor Alh, Inc.a | Residential Treatment Facility, Physical Disabilities | 2401 Oak Drive, Anchorage, AK 99508 | 2017-09-22 |
| 1376935353 | Annes Home Care | Residential Treatment Facility, Physical Disabilities | 3971 Defiance St., Anchorage, ALASKA 99504 | 2015-02-27 |
| 1730504564 | Heart and Harmony,alh,llc | Residential Treatment Facility, Physical Disabilities | 4939 Folker St, Unit A, Anchorage, AK 99507-1456 | 2014-03-03 |
| 1790021251 | Abra Assisted Living Home | Residential Treatment Facility, Physical Disabilities | 1609 Betula Circle Ave, Anchorage, AK 99507-4126 | 2013-01-02 |
| 1790035087 | Carmelite Home | Residential Treatment Facility, Physical Disabilities | 9401 Aphrodite Dr., Anchorage, AK 99515 | 2012-09-13 |
| 1215266986 | Heart of Alaska Homecare Alh | Residential Treatment Facility, Physical Disabilities | 3406 Mckenzie Dr, Anchorage, AK 99517-1653 | 2009-12-09 |
| 1386844355 | Twin Hearts Ale | Residential Treatment Facility, Physical Disabilities | 1111 Boston St, Anchorage, AK 99504-2015 | 2007-07-19 |
| 1790997948 | Helping Hands Alh Inc. | Residential Treatment Facility, Physical Disabilities | 3931 Laron Ln, Anchorage, AK 99504-4652 | 2007-05-03 |
| 1629299631 | Elena's Place I Corp. | Residential Treatment Facility, Physical Disabilities | 8551 Arctic Blvd, Anchorage, AK 99515-1708 | 2007-05-01 |
| 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.