J&J INDEPENDENT LIVING, LLC (NPI# 1639570203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639570203 |
| Entity Type | Organization |
| Organization Name | J&J INDEPENDENT LIVING, LLC |
| Practice Address |
165 E. Parks Hwy Suite 106 Wasilla AK 99654-3909 |
| Mailing Address |
165 E Parks Hwy Suite 106 Wasilla AK 99654-7059 |
| Practice Telephone | 9073733953 |
| Practice Fax Number | 9073733983 |
| Mailing Telephone | 9073733953 |
| Mailing Fax Number | 9073733983 |
| Enumeration Date | 2014-09-14 |
| Last Update Date | 2016-09-21 |
| Authorized Official Name | BILLIE JO HANSEN (ADMINISTRATOR/OWNER) |
| Authorized Official Telephone | 9077156507 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251C00000X | Day Training, Developmentally Disabled Services | 1624210 | AK | Agencies |
| N | 253J00000X | Foster Care Agency | Agencies | ||
| N | 310400000X | Assisted Living Facility | AK | Nursing & Custodial Care Facilities | |
| N | 385H00000X | Respite Care | 1624210 | AK | Respite Care Facility |
| N | 251B00000X | Case Management | 1002558 | AK | Agencies |
| N | 251C00000X | Day Training, Developmentally Disabled Services | 1002558 | AK | Agencies |
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | 1624208 | 05 | |
| AK | 1624210 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | J&J Independent Living, LLC | 1099 18th Street, Suite 2860, Denver, CO 80202 |
| Street Address |
165 E. PARKS HWY SUITE 106 |
| City | WASILLA |
| State | AK |
| Zip Code | 99654-3909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003426784 | Colleen Maggie Newcity | Case Manager/Care Coordinator | 851 Westpoint Suite 310, Wasilla, AK 99654 | 2020-08-06 |
| 1659995884 | Amy M Lowe | Peer Specialist | 1363 W Spuce Ave, Wasilla, AK 99654 | 2020-06-03 |
| 1922648690 | Achieve Medical Alaska LLC | Clinic/Center | 1981 E Palmer, Suite 230, Wasilla, AK 99654 | 2020-01-10 |
| 1588205538 | Juan Carlos Garcia | Physician Assistant | 950 East Bogard Road, Suite 103, Wasilla, AK 99654 | 2019-10-01 |
| 1427610864 | Sharon Webb | Counselor | 705 S Knik Goose Bay Rd Suite K, Wasilla, AK 99654 | 2019-07-06 |
| 1306401864 | Logan Lee Cook | Peer Specialist | 2953 E Fairview Loop, Wasilla, AK 99654 | 2019-05-09 |
| 1053883595 | Moose Creek Medical Clinic LLC | Nurse Practitioner | 2341 S. Fern St., Suite 300, Wasilla, AK 99654 | 2018-12-21 |
| 1487124962 | Melissa A Stevens | Massage Therapist | 2201 W That Rd, Wasilla, AK 99654 | 2018-11-28 |
| 1609359561 | Audrey E Beers | Midwife | 2405 S. Knik Goose Bay Rd., Wasilla, AK 99654 | 2018-09-07 |
| 1093297418 | Karlee Janine Mccorry | Occupational Therapist | 613 S Knik-goose Bay Rd, Wasilla, AK 99654 | 2018-09-01 |
| Find all providers in zip 99654 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255813655 | O'bies Adobe, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1790 N Centurian Pl Apt 3, Wasilla, AK 99654-5470 | 2018-08-31 |
| 1700312790 | Windy Ridge Assisted Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7781 W Dean Dr, Wasilla, AK 99623-0824 | 2017-05-11 |
| 1730789033 | Inclusive Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4314 S Pinnacle Peak Dr, Wasilla, AK 99623-0707 | 2020-10-27 |
| 1598264715 | Lake Haven Homes, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7781 W Dean Dr, Wasilla, AK 99623-0824 | 2018-02-02 |
| 1932629508 | Marsha Sommerville | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7781 W Dean Dr, Wasilla, AK 99623-0824 | 2017-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376175075 | One Source Home Care Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9205 James Blvd Apt 102, Juneau, AK 99801-9671 | 2020-02-10 |
| 1467095836 | Birchwood Assisted Living Home, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19619 Crabtree St, Chugiak, AK 99567-5922 | 2019-10-17 |
| 1235770298 | Greater Works Caring Center, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3550 Airport Way Ste 203, Fairbanks, AK 99709-4772 | 2019-10-01 |
| 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 |
| 1255867263 | Montana Creek Assisted Living Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19205 E Future Rd, Talkeetna, AK 99676 | 2017-05-11 |
| 1053852061 | Birchtree Residential Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1220 N Winding Brook Loop, Palmer, AK 99645 | 2017-03-10 |
| 1366990202 | Sanctuary II Alh | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8901 Lakehurst Dr Unit A, Anchorage, AK 99502-5161 | 2016-09-20 |
| 1295282952 | Gary Jones | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6700 Rockridge Dr, Anchorage, AK 99516-1898 | 2016-09-09 |
| 1093120438 | Heart of Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7038 Peck Ave, Anchorage, AK 99504-1158 | 2014-06-24 |
| 1477976561 | Horizon Assisted Living of Fairbanks LLC. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 821 17th Ave, Apt 122, Fairbanks, AK 99701-6150 | 2014-01-27 |
| 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.