COZY ACRES LLC NPI 1093183279

Assisted Living Facility in Houston, AK

NPI 1093183279 Organization Assisted Living Facility

About COZY ACRES LLC

Cozy Acres Llc is a provider established in Houston, Alaska specializing in assisted living facility. The NPI number of Cozy Acres Llc is 1093183279 and was assigned on September 2015. The practitioner's primary taxonomy code is 310400000X with license number 1025659 (AK). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Lynda Plettner (President / Administrator)

NPI

1093183279

Provider NameCOZY ACRES LLC
Provider Location Address12528 HAWK LANE HOUSTON, AK 99694
Provider Mailing AddressPO BOX 520069 BIG LAKE, AK 99652
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date09-04-2015
Last Update Date09-04-2015


Primary Taxonomy

Taxonomy Code310400000X
ClassificationAssisted Living Facility
TypeNursing & Custodial Care Facilities
License No.1025659
License StateAK
Taxonomy DescriptionA 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.

Business Address

COZY ACRES LLC
12528 HAWK LANE
HOUSTON, AK
ZIP 99694
Phone: (907) 892-6944
Fax: (907) 892-6945

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Mailing Address

COZY ACRES LLC
PO BOX 520069
BIG LAKE, AK
ZIP 99652
Phone: (907) 892-6944
Fax: (907) 892-6945



Authorized Official

Authorized Official Name LYNDA PLETTNER
Authorized Official TitlePRESIDENT / ADMINISTRATOR
Authorized Official Phone(907) 892-6944

Other Providers at the same location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1154503688 LYNDA J PLETTNER
Individual
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities12528 HAWK LANE
HOUSTON, AK 99694
(907) 892-6944
1154580835BIG LAKE COUNTRY CLUB
Organization
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities12528 HAWK LANE
HOUSTON, AK 99694
(907) 892-6944
1932339942BIG LAKE MENTAL HEALTH SERVICES
Organization
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities12528 HAWK LANE
HOUSTON, AK 99694
(907) 892-6946
1639497415BIG LAKE COUNTRY CLUB, LLC
Organization
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities12528 HAWK LANE
HOUSTON, AK 99694
(907) 892-6944
1164723516 JODY HALL
Individual
Case Manager/Care Coordinator12528 HAWK LANE
HOUSTON, AK 99694
(907) 892-6944
1598066938MR. STEPHEN PHILLIP GEDDES
Individual
Case Manager/Care Coordinator12528 HAWK LANE
HOUSTON, AK 99694
(907) 892-6944

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.