ALDERGROVE ASSISTED LIVING (NPI# 1477802197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477802197 |
| Entity Type | Organization |
| Organization Name | ALDERGROVE ASSISTED LIVING |
| Practice Address |
41045 Denny Lane Homer AK 99603 |
| Mailing Address |
Po Box 1954 Homer AK 99603-1954 |
| Practice Telephone | 9074353938 |
| Mailing Telephone | 9074353938 |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2012-09-10 |
| Authorized Official Name | BRIAN SHERBONDY (ADMINISTRATOR/OWNER) |
| Authorized Official Telephone | 9074353938 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities | ||
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
| N | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services | ||
| Y | 320700000X | Residential Treatment Facility, Physical Disabilities | Residential Treatment Facilities |
| Street Address |
41045 DENNY LANE |
| City | HOMER |
| State | AK |
| Zip Code | 99603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572387 | Morgan Dwyer | Counselor | 51310 Timber Bay Ct, Homer, AK 99603 | 2020-09-09 |
| 1346859824 | John George Hetrick | Counselor | 51310 Timber Bay Ct., Homer, AK 99603 | 2020-07-30 |
| 1093352502 | Katieostrommd | Obstetrics & Gynecology | 205 W Fairview, Homer, AK 99603 | 2019-12-03 |
| 1023651965 | Melissa Elizabeth Malcolm | Physical Therapy Assistant | 4107 Hohe Ave, Homer, AK 99603 | 2019-10-23 |
| 1184143620 | Homer Birth and Wellness Center | Clinic/Center | 3902 Shelford Street, Homer, AK 99603 | 2017-09-15 |
| 1588913271 | Sharon Marie Gorman | Registered Nurse | 3959 Ben Walters, Homer, AK 99603 | 2012-09-10 |
| 1194087551 | Stephen Michael Mueller | Pharmacist | 3858 Lake Street, Suite #5, Lakeside Mall, Homer, AK 99603 | 2012-06-12 |
| 1962778001 | Homer Dental Center Inc | Dentist | 4014 Lake St., Ste 210, Homer, AK 99603 | 2012-03-22 |
| 1346544368 | William R Easton | General Practice | 2495 Bayridge Rd, Homer, AK 99603 | 2011-01-05 |
| 1063741817 | Kostas Taxi Service | Private Vehicle | 235 Lee Drive, Homer, AK 99603 | 2009-12-08 |
| Find all providers in zip 99603 | ||||
| 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 |
| 1881126233 | Caring Hands and Homes | Residential Treatment Facility, Physical Disabilities | 2935 N Church Rd, Wasilla, AK 99654-4168 | 2017-04-03 |
| 1073978300 | Denali Ridge Assisted Living, LLC | Residential Treatment Facility, Physical Disabilities | 1450 N Grubstake Dr, Wasilla, AK 99654-5512 | 2015-12-31 |
| 1730504564 | Heart and Harmony,alh,llc | Residential Treatment Facility, Physical Disabilities | 4939 Folker St, Unit A, Anchorage, AK 99507-1456 | 2014-03-03 |
| 1326460387 | Colleen Mcnulty | Residential Treatment Facility, Physical Disabilities | 701 North Forest St., Kenai, AK 99611 | 2014-01-10 |
| 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 |
| 1730481334 | Maniilaq Association | Residential Treatment Facility, Physical Disabilities | 733 Second Avenue, Ferguson Building, Kotzebue, AK 99752-0256 | 2010-12-02 |
| 1366742611 | Caring Hand In Hand Human Services LLC | Residential Treatment Facility, Physical Disabilities | 10335 Crest View Ln, Eagle River, AK 99577-8440 | 2010-11-02 |
| Find all providers with the same taxonomy | ||||
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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.