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1851514624 NPI number — TLC ASSISTED LIVING HOME

NPI Number: 1851514624
Health Care Provider/Practitioner: TLC ASSISTED LIVING HOME

Information about “1851514624” NPI (TLC ASSISTED LIVING HOME) exists in 1851514624 in HTML format HTML  |  1851514624 in plain Text format TXT  |  1851514624 in PDF (Portable Document Format) PDF  |  1851514624 in an XML format XML  formats.

NPI Number : 1851514624 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1851514624",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "TLC ASSISTED LIVING HOME",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2401 OAK DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ANCHORAGE",
    "MailingAddressStateName": "AK",
    "MailingAddressPostalCode": "99508-3267",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "907-278-0308",
    "MailingAddressFaxNumber": "907-278-0408",
    "FirstLinePracticeLocationAddress": "2401 OAK DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ANCHORAGE",
    "PracticeLocationAddressStateName": "AK",
    "PracticeLocationAddressPostalCode": "99508-3267",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "907-278-0308",
    "PracticeLocationAddressFaxNumber": "907-278-0408",
    "EnumerationDate": "04/10/2007",
    "LastUpdateDate": "06/21/2018",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "TANNER",
    "AuthorizedOfficialFirstName": "WILMA",
    "AuthorizedOfficialMiddleName": "ERIBAL",
    "AuthorizedOfficialTitle": "ADMINISTRATOR, OWNER",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LPN",
    "AuthorizedOfficialTelephoneNumber": "907-441-9595",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "385H00000X",
          "TaxonomyName": "Respite Care",
          "LicenseNumber": "RL5743",
          "LicenseNumberStateCode": "AK",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "310400000X",
          "TaxonomyName": "Assisted Living Facility",
          "LicenseNumber": "738560",
          "LicenseNumberStateCode": "AK",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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