OUR LADY OF LOURDES, LLC
NPI 1306118062
Assisted Living Facility in Anchorage, AK

Active since January 27, 2012
1931 GREENDALE DR, ANCHORAGE, AK 99504(907) 350-7203 Get Directions Write a Review

NPPES record last updated: January 27, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Assisted Living Facility

About OUR LADY OF LOURDES, LLC

This page provides the complete NPI Profile along with additional information for Our Lady Of Lourdes, Llc, a provider established in Anchorage, Alaska operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1306118062 assigned on January 2012. The practitioner's primary taxonomy code is 310400000X with license number 000011 (AK). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Mr. Leo Valdez (Administrator)

NPI
1306118062 Verify this NPI
Provider Name
OUR LADY OF LOURDES, LLC
Entity Type
Organization
Location Address
1931 GREENDALE DR ANCHORAGE, AK 99504
Location Phone
(907) 350-7203
Mailing Address
1931 GREENDALE DR ANCHORAGE, AK 99504
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-27-2012
Last Update Date
01-27-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
License No.
000011
License State
AK
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. LEO VALDEZ

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(907) 350-7203

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Respite Care
1931 GREENDALE DR
ANCHORAGE, AK 99504

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306118062, enumerated as an "organization" on January 27, 2012.

The provider is located at 1931 GREENDALE DR ANCHORAGE, AK 99504 and the phone number is (907) 350-7203.

Assisted Living Facility with taxonomy code 310400000X.