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JASON TYRELL
NPI 1275317133
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Anchorage, AK

Active since August 22, 2023
5731 RADCLIFF DR # 1, ANCHORAGE, AK 99504(907) 339-4859(907) 331-0463 Get Directions Write a Review

NPPES record last updated: August 22, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jason Tyrell NPPES

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

JASON TYRELL (NPI 1275317133) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Anchorage, Alaska, licensed in Alaska (101559) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1275317133
Entity TypeIndividualMale
Primary Taxonomy320900000X
Provider Legal NameJASON TYRELL
Location Address5731 RADCLIFF DR # 1Anchorage, AK 99504-3019
Mailing Address3844 Helvetia DrAnchorage, AK 99508-5016 · (860) 367-3763 · Fax (907) 331-0463
Phone(907) 339-4859
Fax(907) 331-0463
Sole ProprietorYes
Enumeration DateAugust 22, 2023
NPPES CertifiedAugust 22, 2023
✔ NPI 1275317133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
License✔ Licensed in AK · 101559
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
5731 RADCLIFF DR # 1, Anchorage, AK 99504
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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 Jason Tyrell's NPI number?

The NPI number for Jason Tyrell is 1275317133. It was assigned to this individual provider in the NPPES registry on August 22, 2023.

Where is Jason Tyrell located?

Jason Tyrell practices at 5731 Radcliff Dr # 1, Anchorage, AK 99504. The listed phone number is (907) 339-4859.

What is Jason Tyrell's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Jason Tyrell was last updated on August 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.