Divine Haven Assisted Living Home

LBN: Divine Haven Assisted Living Home
Divine Haven Assisted Living Home is an health care organization with primary practice located at 1961 Norene St , Anchorage AK 99508-3447. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Divine Haven Assisted Living Home can be contacted via phone (907) 317-5080, or through Catalan, Juddy M via phone (907) 317-5080.

Contact Information

Primary practice address
1961 Norene St Anchorage AK 99508-3447
Phone: (907) 317-5080
Fax: (907) 334-8057
Website:
Map and Directions
Authorized official contact:
Name: Catalan, Juddy M Certified in Nursing Administration (CNA)
Phone: (907) 317-5080

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 100475 Alaska

Profile Details

NPI number 1043348881
LBN Legal business name Divine Haven Assisted Living Home
DBA Doing business as
Authorized official Catalan, Juddy M Certified in Nursing Administration (CNA)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 2nd, 2007
Last updated Jul 17th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043348881 NPPES
Alaska MEDICAID RL2862

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