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CORDIAL CARE ASSISTED LIVING HOME
NPI 1104540087
Home Health in Anchorage, AK

Active since October 03, 2022
3861 W 74TH AVE # A, ANCHORAGE, AK 99502(907) 644-6024 Get Directions Write a Review

NPPES record last updated: October 3, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cordial Care Assisted Living Home NPPES

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

CORDIAL CARE ASSISTED LIVING HOME (NPI 1104540087) is a healthcare organization registered as a home health in Anchorage, Alaska and active in the NPI registry since October 2022. The organization lists Haddyjatou Burang John, Administrator, as its authorized official.

NPPES Registry Identity

NPI1104540087
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameCORDIAL CARE ASSISTED LIVING HOME
Location Address3861 W 74TH AVE # AAnchorage, AK 99502-2865
Mailing Address3861 W 74th Ave # AAnchorage, AK 99502-2865 · (907) 644-6024
Phone(907) 644-6024
Organization SubpartYesParent: Cordial Care Llc
Authorized OfficialHaddyjatou Burang JohnAdministrator · (907) 342-7385
Enumeration DateOctober 3, 2022
NPPES CertifiedOctober 3, 2022
✔ NPI 1104540087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
3861 W 74TH AVE # A, Anchorage, AK 99502
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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 Cordial Care Assisted Living Home's NPI number?

The NPI number for Cordial Care Assisted Living Home is 1104540087. It was assigned to this organization in the NPPES registry on October 3, 2022.

Where is Cordial Care Assisted Living Home located?

Cordial Care Assisted Living Home is located at 3861 W 74th Ave # A, Anchorage, AK 99502. The listed phone number is (907) 644-6024.

What is Cordial Care Assisted Living Home's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Cordial Care Assisted Living Home was last updated on October 3, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.