FAIRBANKS ASSISTED LIVING, LLC – NPI #1659009272
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.

FAIRBANKS ASSISTED LIVING, LLC is a community based residential treatment facility located in FAIRBANKS, AK. NPPES has assigned the NPI number 1659009272 to FAIRBANKS ASSISTED LIVING, LLC on August 11, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, 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 FAIRBANKS ASSISTED LIVING, LLC below.

NPI Profile for
FAIRBANKS ASSISTED LIVING, LLC

NPI Number
1659009272
Enumeration Date

(about 4 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
FAIRBANKS ASSISTED LIVING, LLC
Primary location
164 SYRACUSE CT APT 1
FAIRBANKS, AK 99709-2977
Phone: (907) 987-0304 Fax:
Mailing address
114 CAHABA ST
ENTERPRISE, AL 36330-3627
Phone: (907) 888-5163 Fax:
Organization Subpart
No
Authorized Official
DIANA MHURIRO
OWNER
Phone: (907) 888-5163
Updated
Certification Date
Aug 11, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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.

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.