GRACEFUL LIVING LLC


Address: 1100 Friendly Ln, 6600 East 11th Ave, Anchorage, AK 99504-2024
Phone: 9073380444

GRACEFUL LIVING LLC (NPI# 1932379351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932379351
Entity Type Organization
Organization Name GRACEFUL LIVING LLC
Practice Address 1100 Friendly Ln
6600 East 11th Ave
Anchorage
AK 99504-2024
Mailing Address 6300 E 9th Ave
1100 Friendly Lane
Anchorage
AK 99504-1720
Practice Telephone 9073380444
Practice Fax Number 9073385768
Mailing Telephone 9073383135
Mailing Fax Number 9073383012
Enumeration Date 2008-03-03
Last Update Date 2008-03-03
Authorized Official Name CHRISTIANA ILOSEN ULOFOSHIO (ADMINISTRATOR)
Authorized Official Telephone 9073383135
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 343900000X Non-emergency Medical Transport (VAN) 34390000X AK Transportation Services
N 385HR2060X Respite Care
Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child
385HR2060 AK Respite Care Facility
N 344600000X Taxi 3446OOOOX TAXI AK Transportation Services
Y 385H00000X Respite Care 385HR0000X AK Respite Care Facility

Other Provider Identifier

State Issuer Identifier Type Code
AK 1548461445 05
AK HC3704 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1548461445 Graceful Living LLC Custodial Care Facility 6300 E 9th Ave, Anchorage, AK 99504-1720 2007-05-29
1255665303 Graceful Living LLC Non-emergency Medical Transport (VAN) 24500 Center Ridge Rd, # 135, Westlake, OH 44145-5601 2009-09-22
1700014727 Graceful Living LLC Respite Care 6300 E 9th Ave, Anchorage, AK 99504-1720 2009-06-29
1629203450 Graceful Living LLC Respite Care 6300 E 9th Ave, Anchorage, AK 99504-1720 2009-05-22

Other Data Sources

Entity Type Entity Name Entity Address
Washington State Corporations GRACEFUL LIVING LLC 23511 Ne 178th St, Brush Prairie, WA 98606-7755

Office Location

Street Address 1100 FRIENDLY LN
6600 EAST 11TH AVE
City ANCHORAGE
State AK
Zip Code 99504-2024

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1831626225 Christian Wilfred, Thomas Garrett Social Worker 1201 N Mulddon Rd, Anchorage, AK 99504 2017-05-16
1609309954 Rowena R Jones Assisted Living Facility 4009 Scenic View, Anchorage, AK 99504 2017-04-04
1982156733 Agape Care Coordination LLC Case Manager/Care Coordinator 2050 Paxson Dr., Anchorage, AK 99504 2016-10-27
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Taxonomy Information

Taxonomy Code 385H00000X
Grouping Respite Care Facility
Classification Respite Care

Taxonomy Definition

Definition to come.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225668718 Turnagain Assisted Living LLC. Respite Care 3406 Seppala Dr Unit B, Anchorage, AK 99517-1143 2020-01-23
1518500297 Lamin St Jammeh Respite Care 7924 Parkway Dr, Anchorage, AK 99504-2840 2019-10-24
1548744469 Independence Lodge, LLC Respite Care 6941 Stanley Dr, Anchorage, AK 99518-2163 2018-09-17
1255769899 A Loving Care PCa Respite Care 343 W Benson Blvd Ste 4, Anchorage, AK 99503-3950 2013-10-17
1528358207 Divine Mercy II Alh, LLC Respite Care 417 E 11th Ave Apt 5, Anchorage, AK 99501-4560 2011-04-14
1821299884 Trinion Quality Care Services, Inc. Respite Care 3700 Woodland Dr., Suite 500, Anchorage, AK 99517-2567 2007-05-29
1619186145 Pals Palace Assistant Living Home Respite Care 2220 E 53rd Ave, Anchorage, AK 99507-1661 2007-05-22
1003035627 Northern Lighthouse Day Center Respite Care 403 E 24th Ave, Anchorage, AK 99503-2107 2007-04-24
1902024177 Alaska Care Group, Inc Respite Care 1199 E Dimond Blvd, Suite 101, Anchorage, AK 99515-2011 2007-04-23
1851514624 Tlc Assisted Living Home Respite Care 2401 Oak Dr, Anchorage, AK 99508-3267 2007-04-10
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Competitor

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City ANCHORAGE
Zip Code 99504

Improve Information

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Dataset Information

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.

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