OUR LADY OF FATIMA
NPI 1073704102
Assisted Living Facility in Anchorage, AK

Active since August 05, 2007
4030 DEFIANCE ST, ANCHORAGE, AK 99504(907) 529-7495 Get Directions Write a Review

NPPES record last updated: August 5, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Assisted Living Facility

About OUR LADY OF FATIMA

This page provides the complete NPI Profile along with additional information for Our Lady Of Fatima, a provider established in Anchorage, Alaska operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1073704102 assigned on August 2007. The practitioner's primary taxonomy code is 310400000X with license number 100559 (AK). The provider is registered as an organization and their NPI record was last updated 19 years ago. The authorized official of this NPI record is Mrs. Gina Gabat Nidoy (Owner)

NPI
1073704102 Verify this NPI
Provider Name
OUR LADY OF FATIMA
Entity Type
Organization
Location Address
4030 DEFIANCE ST ANCHORAGE, AK 99504
Location Phone
(907) 529-7495
Mailing Address
4030 DEFIANCE ST ANCHORAGE, AK 99504
Mailing Phone
(907) 529-7495
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-05-2007
Last Update Date
08-05-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
License No.
100559
License State
AK
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. GINA GABAT NIDOY

Authorized Official Title
OWNER
Authorized Official Phone
(907) 529-7495

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
RL7080MEDICAID (05)AK 

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Assisted Living Facility
4030 DEFIANCE ST
ANCHORAGE, AK 99504

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073704102, enumerated as an "organization" on August 05, 2007.

The provider is located at 4030 DEFIANCE ST ANCHORAGE, AK 99504 and the phone number is (907) 529-7495.

Assisted Living Facility with taxonomy code 310400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.