KODIAK ISLAND ASSISTED LIVING, LLC
NPI 1063259687
Day Training, Developmentally Disabled Services in Kodiak, AK

Active since July 11, 2024
1814 SIMEONOF ST, KODIAK, AK 99615(915) 841-1117 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kodiak Island Assisted Living, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KODIAK ISLAND ASSISTED LIVING, LLC (NPI 1063259687) is a healthcare organization registered as a day training, developmentally disabled services in Kodiak, Alaska and active in the NPI registry since July 2024. The organization lists Mary Jean V Silva, Adminstrator, as its authorized official.

NPPES Registry Identity

NPI1063259687
Entity TypeOrganization
Primary Taxonomy251C00000X
Legal Business NameKODIAK ISLAND ASSISTED LIVING, LLC
Location Address1814 SIMEONOF STKodiak, AK 99615-6517
Mailing Address914 Thorsheim StKodiak, AK 99615-6165 · (915) 841-1117
Organization SubpartNo
Authorized OfficialMary Jean V SilvaAdminstrator · (915) 841-1117
Enumeration DateJuly 11, 2024
NPPES CertifiedJuly 10, 2024
NPI 1063259687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code251C00000X
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
1814 SIMEONOF ST, Kodiak, AK 99615

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Assisted Living Facility (Assisted Living, Mental Illness)
1814 SIMEONOF ST
KODIAK, AK 99615

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kodiak Island Assisted Living, LLC's NPI number?

The NPI number for Kodiak Island Assisted Living, LLC is 1063259687. It was assigned to this organization in the NPPES registry on July 11, 2024.

Where is Kodiak Island Assisted Living, LLC located?

Kodiak Island Assisted Living, LLC is located at 1814 Simeonof St, Kodiak, AK 99615. The listed phone number is (915) 841-1117.

What is Kodiak Island Assisted Living, LLC's specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

When was this NPI record last updated?

The NPPES record for Kodiak Island Assisted Living, LLC was last updated on July 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.