Healthcare Provider Details

I. General information

NPI: 1841456787
Provider Name (Legal Business Name): SOUND VIEW ASSISTED LIVING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2008
Last Update Date: 04/13/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

980 SOUNDVIEW AVE
HOMER AK
99603-8330
US

IV. Provider business mailing address

980 SOUNDVIEW AVE
HOMER AK
99603-8330
US

V. Phone/Fax

Practice location:
  • Phone: 907-235-6149
  • Fax:
Mailing address:
  • Phone: 907-235-6149
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number100706
License Number StateAK
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number100706
License Number StateAK
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number100706
License Number StateAK

VIII. Authorized Official

Name: RUTH ELLA BABCOCK
Title or Position: ADMINISTRATOR
Credential:
Phone: 907-235-6149