Our House On The Lake Llc

LBN: Our House On The Lake Llc
Our House On The Lake Llc is an health care organization with primary practice located at 47710 Interlake Dr , Kenai AK 99611-9694. 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. Our House On The Lake Llc can be contacted via phone (907) 776-8684, or through Quale, Bonita R via phone (907) 776-8684.

Contact Information

Primary practice address
47710 Interlake Dr Kenai AK 99611-9694
Phone: (907) 776-8684
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Quale, Bonita R
Phone: (907) 776-8684

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 224 Alaska
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 100608 Alaska

Profile Details

NPI number 1407293145
LBN Legal business name Our House On The Lake Llc
DBA Doing business as
Authorized official Quale, Bonita R
Entity Organization
Organization subpart 1 No
Enumeration date Jun 3rd, 2013
Last updated Jun 3rd, 2013 - about 11 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 1407293145 NPPES
Alaska MEDICAID RL4771
Alaska MEDICAID RL3719

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