JEWEL LAKE ASSISTED LIVING HOME LLC
NPI 1255761987
Assisted Living Facility in Anchorage, AK

Q: What is Jewel Lake Assisted Living Home LLC's NPI number?

The NPI number for Jewel Lake Assisted Living Home LLC is 1255761987. It was assigned to this organization in the NPPES registry on November 15, 2013.

Q: What is Jewel Lake Assisted Living Home LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since November 15, 2013

4132 W 88TH AVE, ANCHORAGE, AK 99502(907) 243-9570(907) 245-0035 Get Directions Write a Review

NPPES record last updated: November 15, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jewel Lake Assisted Living Home Llc NPPES

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

JEWEL LAKE ASSISTED LIVING HOME LLC (NPI 1255761987) is a healthcare organization registered as an assisted living facility in Anchorage, Alaska and active in the NPI registry since November 2013. The organization lists Arthur Reyes Bonglo, Administrator, as its authorized official.

NPPES Registry Identity

NPI1255761987

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameJEWEL LAKE ASSISTED LIVING HOME LLC

Location Address4132 W 88TH AVEAnchorage, AK 99502-5107

Mailing Address4132 West 88th Ave.Anchorage, AK 99502 · (907) 243-9570 · Fax (907) 245-0035

Phone(907) 243-9570

Fax(907) 245-0035

Organization SubpartNo

Authorized OfficialArthur Reyes BongloAdministrator · (907) 243-9570

Enumeration DateNovember 15, 2013

✔ NPI 1255761987 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 · 101014

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.

4132 W 88TH AVE, Anchorage, AK 99502

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Other Providers at the Same Location NPPES 2

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

EMELYN A YOUNG

Nursing Home Administrator

4132 W 88TH AVE
ANCHORAGE, AK 99502

Anchorage Municipality (907) 243-9570

JEWEL LAKE ASSISTED LIVING HOME LLC

Nursing Home Administrator

4132 W 88TH AVE
ANCHORAGE, AK 99502

Anchorage Municipality (907) 250-4732

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 Jewel Lake Assisted Living Home LLC's NPI number?

The NPI number for Jewel Lake Assisted Living Home LLC is 1255761987. It was assigned to this organization in the NPPES registry on November 15, 2013.

Where is Jewel Lake Assisted Living Home LLC located?

Jewel Lake Assisted Living Home LLC is located at 4132 W 88th Ave, Anchorage, AK 99502. The listed phone number is (907) 243-9570.

What is Jewel Lake Assisted Living Home LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Jewel Lake Assisted Living Home LLC was last updated on November 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.