ABRA ASSISTED LIVING HOME – NPI #1063702546
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

ABRA ASSISTED LIVING HOME is a residential treatment facility located in ANCHORAGE, AK. NPPES has assigned the NPI number 1063702546 to ABRA ASSISTED LIVING HOME on April 18, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ABRA ASSISTED LIVING HOME below.

NPI Profile for
ABRA ASSISTED LIVING HOME

NPI Number
1063702546
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ABRA ASSISTED LIVING HOME
Primary location
1609 BETULA CIR
CIR
ANCHORAGE, AK 99507-4126
Phone: (907) 522-0564 Fax: (907) 929-7793
Mailing address
1609 BETULA CIRCCLE
ANCHORAGE, AK 99507-4126
Phone: (907) 522-0564 Fax: (907) 929-7793
Organization Subpart
No
Authorized Official
MERLO LLANEZA
OWNER/ADMINITRATION
Phone: (907) 522-0564
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320600000X
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)
AK 100875

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.