Healthcare Provider Details

I. General information

NPI: 1003744046
Provider Name (Legal Business Name): STERLING SILVER ON THE LAKE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39180 FARVIEW STREET
STERLING AK
99672
US

IV. Provider business mailing address

39326 HALLELUJAH DRIVE
SOLDOTNA AK
99669
US

V. Phone/Fax

Practice location:
  • Phone: 907-262-3230
  • Fax: 907-262-3231
Mailing address:
  • Phone: 907-260-3230
  • Fax: 907-262-3231

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3104A0625X
TaxonomyAssisted Living Facility (Mental Illness)
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3104A0630X
TaxonomyAssisted Living Facility (Behavioral Disturbances)
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code315D00000X
TaxonomyInpatient Hospice
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: TONYA LYNN NEWTON-EDDIE
Title or Position: OWNER
Credential:
Phone: 907-395-7913