Healthcare Provider Details

I. General information

NPI: 1437080173
Provider Name (Legal Business Name): JUSTINE CARE ALH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19023 TRAIL BAY DR
EAGLE RIVER AK
99577-8590
US

IV. Provider business mailing address

19023 TRAIL BAY DR
EAGLE RIVER AK
99577-8590
US

V. Phone/Fax

Practice location:
  • Phone: 907-406-0253
  • Fax:
Mailing address:
  • Phone: 907-406-0253
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code311Z00000X
TaxonomyCustodial Care Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3104A0625X
TaxonomyAssisted Living Facility (Mental Illness)
License Number
License Number State

VIII. Authorized Official

Name: JONALYN SAITO
Title or Position: OWNER/ADMINISTRATOR
Credential:
Phone: 907-406-0253