Healthcare Provider Details

I. General information

NPI: 1225969298
Provider Name (Legal Business Name): REFLECTIVE ASSISTED LIVING HOME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9113 JEWEL TERRACE ST
ANCHORAGE AK
99502-5149
US

IV. Provider business mailing address

9113 JEWEL TERRACE ST
ANCHORAGE AK
99502-5149
US

V. Phone/Fax

Practice location:
  • Phone: 907-244-8719
  • Fax: 907-332-2205
Mailing address:
  • Phone: 907-244-8719
  • Fax: 907-332-2205

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3104A0625X
TaxonomyAssisted Living Facility (Mental Illness)
License Number
License Number State

VIII. Authorized Official

Name: SUSAN NMN TAYLOR-MCLAUGHLIN
Title or Position: OWNER/ADMIN
Credential:
Phone: 907-244-8719