Healthcare Provider Details

I. General information

NPI: 1689546400
Provider Name (Legal Business Name): AURORA WELLNESS HOME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2025
Last Update Date: 09/22/2025
Certification Date: 09/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2740 COLLIE HILL WAY
ANCHORAGE AK
99504-3117
US

IV. Provider business mailing address

2920 DRAKE DR
ANCHORAGE AK
99508-4414
US

V. Phone/Fax

Practice location:
  • Phone: 907-301-7542
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: REMEDIOS FRANCISCO
Title or Position: ADMINISTRATOR
Credential:
Phone: 907-301-7542