SUNSHINE HAVEN ASSISTED LIVING HOME LLC (NPI# 1942753454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942753454 |
| Entity Type | Organization |
| Organization Name | SUNSHINE HAVEN ASSISTED LIVING HOME LLC |
| Practice Address |
324 Dewey Cir Anchorage AK 99508-2235 |
| Practice Telephone | 9078874416 |
| Practice Fax Number | 9079290342 |
| Mailing Telephone | 9078874416 |
| Mailing Fax Number | 9079290342 |
| Enumeration Date | 2016-08-01 |
| Last Update Date | 2016-08-01 |
| Authorized Official Name | KULAEA SIULUA (OWNER) |
| Authorized Official Telephone | 9078874416 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311Z00000X | Custodial Care Facility | 1028643 | AK | Nursing & Custodial Care Facilities |
| Street Address |
324 DEWEY CIR |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-2235 |
| 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 | 311Z00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. |
| Notes: Source: Paraphrased from Section 3159 A3 of the Medicare Intermediary Manual. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104446418 | Casa Bella Assisted Living Home, LLC. | Custodial Care Facility | 2630 Kingsbridge Cir, Anchorage, AK 99504-3366 | 2020-04-17 |
| 1841856903 | Affinity Alaska LLC | Custodial Care Facility | 9051 Ashley Cir, Anchorage, AK 99502-5583 | 2019-05-14 |
| 1356822712 | Ousman Fattyhydara | Custodial Care Facility | 848 Elaine Dr, Anchorage, AK 99504-2234 | 2018-08-23 |
| 1891294153 | Supreme Home LLC | Custodial Care Facility | 2600a Bryant Cir, Anchorage, AK 99507-3252 | 2018-02-01 |
| 1891293239 | Above The Horizon LLC | Custodial Care Facility | 3300 Amber Bay Loop, Anchorage, AK 99515 | 2018-01-31 |
| 1912405770 | In His Image LLC | Custodial Care Facility | 2253 Mistybrook Cir, Anchorage, AK 99502 | 2018-01-26 |
| 1538601430 | Raymond Nadon | Custodial Care Facility | 6955 Caravelle Dr, Anchorage, AK 99502-2766 | 2016-11-08 |
| 1710468624 | Fulani Alh | Custodial Care Facility | 2591 Lyvona Ln, Anchorage, AK 99502-5452 | 2018-08-28 |
| 1831691708 | Momodou Jallow | Custodial Care Facility | 2591 Lyvona Ln, Anchorage, AK 99502-5452 | 2018-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003940842 | Job Ready, Inc. | Custodial Care Facility | 542 4th Ave, Suite 234, Fairbanks, AK 99701-4714 | 2007-03-15 |
Please comment or provide details below to improve the information on SUNSHINE HAVEN ASSISTED LIVING HOME LLC.
| 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.