ANTHONY JIMENEZ
NPI 1104360452
Assisted Living Facility in Anchorage, AK

Active since December 06, 2016
8401 BERRY PATCH DR, ANCHORAGE, AK 99502(907) 222-1028(907) 222-1028 Get Directions Write a Review

NPPES record last updated: August 24, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Anthony Jimenez NPPES

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

ANTHONY JIMENEZ (NPI 1104360452) is an individual assisted living facility provider in Anchorage, Alaska, licensed in Alaska (101179) and active in the NPI registry since December 2016.

NPPES Registry Identity

NPI1104360452
Entity TypeIndividualMale
Primary Taxonomy310400000X
Provider Legal NameANTHONY JIMENEZ
Location Address8401 BERRY PATCH DRAnchorage, AK 99502-7265
Mailing Address8401 Berry Patch DrAnchorage, AK 99502-7265
Fax(907) 222-1028
Sole ProprietorYes
Enumeration DateDecember 6, 2016
Last NPPES UpdateAugust 24, 2017
NPI 1104360452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in AK · 101179
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.

8401 BERRY PATCH DR, Anchorage, AK 99502

Other Identifiers 1

Other6800582AK · Driver License

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
8401 BERRY PATCH DR
ANCHORAGE, AK 99502

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104360452, enumerated as an "individual" on December 06, 2016.

The provider is located at 8401 BERRY PATCH DR ANCHORAGE, AK 99502 and the phone number is (907) 222-1028.

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.