KODIAK ISLAND ASSISTED LIVING, LLC
NPI 1093538456
Assisted Living Facility - Assisted Living, Mental Illness in Kodiak, AK

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

The NPI number for Kodiak Island Assisted Living, LLC is 1093538456. It was assigned to this organization in the NPPES registry on November 4, 2024.

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

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

Active since November 04, 2024

1814 SIMEONOF ST, KODIAK, AK 99615(915) 841-1117 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

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 1093538456) is a healthcare organization registered as an assisted living, mental illness in Kodiak, Alaska and active in the NPI registry since November 2024. The organization lists Mary Jean V Silva, Administrator, as its authorized official.

NPPES Registry Identity

NPI1093538456

Entity TypeOrganization

Primary Taxonomy3104A0625X

Legal Business NameKODIAK ISLAND ASSISTED LIVING, LLC

Location Address1814 SIMEONOF STKodiak, AK 99615-6517

Mailing Address1814 Simeonof StKodiak, AK 99615-6517 · (915) 841-1117

Phone(915) 841-1117

Organization SubpartNo

Authorized OfficialMary Jean V SilvaAdministrator · (915) 841-1117

Enumeration DateNovember 4, 2024

NPPES CertifiedNovember 4, 2024

✔ NPI 1093538456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities

Taxonomy Code3104A0625X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

Also ListedAssisted Living FacilityTaxonomy 310400000X

1814 SIMEONOF ST, Kodiak, AK 99615

Open in Google Maps ↗

Other Names 1

Doing Business AsKodiak Island Assisted Living, Llc

Other Providers at the Same Location NPPES

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

KODIAK ISLAND ASSISTED LIVING, LLC

Day Training, Developmentally Disabled Services

1814 SIMEONOF ST
KODIAK, AK 99615

Kodiak Island Borough (915) 841-1117

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 1093538456. It was assigned to this organization in the NPPES registry on November 4, 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 Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Kodiak Island Assisted Living, LLC was last updated on November 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.