OUR HOUSE ON THE LAKE LLC
NPI 1407293145
Assisted Living Facility in Kenai, AK

Q: What is Our House On The Lake LLC's NPI number?

The NPI number for Our House On The Lake LLC is 1407293145. It was assigned to this organization in the NPPES registry on June 3, 2013.

Q: What is Our House On The Lake LLC's specialty?

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

Active since June 03, 2013

47710 INTERLAKE DR, KENAI, AK 99611(907) 776-8684 Get Directions Write a Review

NPPES record last updated: June 3, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Our House On The Lake Llc NPPES

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

OUR HOUSE ON THE LAKE LLC (NPI 1407293145) is a healthcare organization registered as an assisted living facility in Kenai, Alaska and active in the NPI registry since June 2013. The organization lists Bonita R Quale, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1407293145

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameOUR HOUSE ON THE LAKE LLC

Location Address47710 INTERLAKE DRKenai, AK 99611-9694

Mailing Address47710 Interlake DrKenai, AK 99611-9694 · (907) 776-8684

Phone(907) 776-8684

Organization SubpartNo

Authorized OfficialBonita R QualeSole Member · (907) 776-8684

Enumeration DateJune 3, 2013

✔ NPI 1407293145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

Licenses✔ Licensed in AK · 224✔ Licensed in AK · 100608

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.

47710 INTERLAKE DR, Kenai, AK 99611

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Other Identifiers 2

MedicaidRL3719AK

MedicaidRL4771AK

Other Providers at the Same Location NPPES

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

BONITA R QUALE

Assisted Living Facility

47710 INTERLAKE DR
KENAI, AK 99611

Kenai Peninsula Borough (907) 776-8684

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 Our House On The Lake LLC's NPI number?

The NPI number for Our House On The Lake LLC is 1407293145. It was assigned to this organization in the NPPES registry on June 3, 2013.

Where is Our House On The Lake LLC located?

Our House On The Lake LLC is located at 47710 Interlake Dr, Kenai, AK 99611. The listed phone number is (907) 776-8684.

What is Our House On The Lake 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 Our House On The Lake LLC was last updated on June 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.