MOUNTAIN VISTA ALH – NPI #1124392840
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

MOUNTAIN VISTA ALH is a community based residential treatment facility located in EAGLE RIVER, AK. NPPES has assigned the NPI number 1124392840 to MOUNTAIN VISTA ALH on February 27, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MOUNTAIN VISTA ALH” is a dba name, the actual legal business name for this organization is AOFALASKA LLC. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based 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 MOUNTAIN VISTA ALH below.

NPI Profile for
AOFALASKA LLC

NPI Number
1124392840
Enumeration Date

(more than 14 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
AOFALASKA LLC
Doing Business As (dba): MOUNTAIN VISTA ALH
Primary location
19412 FIRST ST
EAGLE RIVER, AK 99577
Phone: (907) 244-9504 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DARCY HIETT
ADMINISTRATOR/MEMBER
Phone: (907) 244-9504
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
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)
AK 100803

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.