SERENE GRACE ASSISTED LIVING HOME LLC
NPI 1285145193
Assisted Living Facility in Anchorage, AK

Active since October 18, 2017
3639 E 74TH AVE, ANCHORAGE, AK 99507(907) 272-4073(907) 522-1626 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 16, 2018, Mar 17, 2018, Oct 18, 2017 (3 updates tracked since 2017).

About Serene Grace Assisted Living Home Llc NPPES

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

SERENE GRACE ASSISTED LIVING HOME LLC (NPI 1285145193) is a healthcare organization registered as an assisted living facility in Anchorage, Alaska and active in the NPI registry since October 2017. The organization maintains a secondary practice location in Anchorage and lists Mirasol Williams, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1285145193
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSERENE GRACE ASSISTED LIVING HOME LLC
Location Address3639 E 74TH AVEAnchorage, AK 99507-2829
Mailing Address3639 E 74th AveAnchorage, AK 99507-2829 · (907) 272-4073 · Fax (907) 522-1626
Fax(907) 522-1626
Organization SubpartNo
Authorized OfficialMirasol WilliamsSole Member · (907) 272-4073
Enumeration DateOctober 18, 2017
Last NPPES UpdateJune 16, 20183 updates tracked since enumeration
NPI 1285145193 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 · 101199
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.
3639 E 74TH AVE, Anchorage, AK 99507

Secondary Practice Location 1

Location 17810 Alpine View CirAnchorage, AK 99507-5704 · Phone (907) 375-0422 · Fax (907) 375-0432

Other Identifiers 2

Other101199AK · State Of Alaska
Other1051694AK · State Of Alaska

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
3639 E 74TH AVE
ANCHORAGE, AK 99507

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 Serene Grace Assisted Living Home LLC's NPI number?

The NPI number for Serene Grace Assisted Living Home LLC is 1285145193. It was assigned to this organization in the NPPES registry on October 18, 2017.

Where is Serene Grace Assisted Living Home LLC located?

Serene Grace Assisted Living Home LLC is located at 3639 E 74th Ave, Anchorage, AK 99507. The listed phone number is (907) 272-4073.

What is Serene Grace 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 Serene Grace Assisted Living Home LLC was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.