The Moose Shack in Eagle River - Assisted Living Facility
The Moose Shack - NPI 1629281126
The Moose Shack is a Assisted Living Facility in Eagle River, Alaska. The Moose Shack practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for The Moose Shack is 1629281126. The last update date is 2014-10-10.
The Moose Shack's current location address is 19216 Citation Rd, Eagle River, Alaska. You can contact this provider via phone number 9073510569 and fax number 8882915028. The mailing address for The Moose Shack is 19216 Citation Rd, Eagle River, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | The Moose Shack |
|---|---|
| Address | 19216 Citation Rd, Eagle River, Alaska |
| Phone Number | 9073510569 |
| Fax Number | 8882915028 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Bishop Denise Candis |
| Credentials | CEO |
| Telephone Number | 9073510569 |
NPI Number Detail
| NPI Number | 1629281126 |
|---|---|
| Provider Enumeration Date | 2007-05-08 |
| Last Updated Date | 2014-10-10 |
Provider Mailing Address Detail
| Address | 19216 Citation Rd |
|---|---|
| City | Eagle River |
| State | Alaska (AK) |
| Post Code | 995778416 |
| Phone Number | 9073510569 |
| Fax Number | 8882915028 |
Provider's Primary Taxonomy Detail
| Speciality | Assisted Living Facility |
|---|---|
| Taxonomy | 310400000X |
| Licence No | 277 |
|
Definition: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| RL09771 | AK | -- | |
| 1030021 | AK | -- |
Post Comment/ Review Below
What is the The Moose Shack's unique identification number?
The The Moose Shack has been assigned the NPI (National Provider Identifier) Number 1629281126 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of The Moose Shack?
The The Moose Shack is situated at 19216 Citation Rd, in the city of Eagle River, state of AK, with the zip code 995778416.
What is the The Moose Shack's area of specialization and corresponding taxonomy classification?
The The Moose Shack's specialty field is Assisted Living Facility, and it falls under the taxonomy code 310400000X, which categorizes healthcare providers based on their specialties.
On what date did The Moose Shack receive its 1629281126 assignment from the Centers for Medicare & Medicaid Services?
The The Moose Shack was assigned its 1629281126 on 2007-05-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to The Moose Shack, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to The Moose Shack, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-10-10.