GOOD GRACE ASSISTED LIVING HOME,LLC
NPI 1477845030
Assisted Living Facility in Anchorage, AK

Active since May 13, 2011
2649A CARROLL PL, ANCHORAGE, AK 99508(907) 929-0304 Get Directions Write a Review

NPPES record last updated: May 13, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Assisted Living Facility

About GOOD GRACE ASSISTED LIVING HOME,LLC

This page provides the complete NPI Profile along with additional information for Good Grace Assisted Living Home,llc, a provider established in Anchorage, Alaska operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1477845030 assigned on May 2011. The practitioner's primary taxonomy code is 310400000X with license number 100904 (AK). The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Julieelaine Tayan Pentecostes (Owner/ Administrator)

NPI
1477845030 Verify this NPI
Provider Name
GOOD GRACE ASSISTED LIVING HOME,LLC
Entity Type
Organization
Location Address
2649A CARROLL PL ANCHORAGE, AK 99508
Location Phone
(907) 929-0304
Mailing Address
2649A CARROLL PL ANCHORAGE, AK 99508
Mailing Phone
(907) 929-0304
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-13-2011
Last Update Date
05-13-2011
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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.
100904
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

JULIEELAINE TAYAN PENTECOSTES

Authorized Official Title
OWNER/ ADMINISTRATOR
Authorized Official Phone
(907) 929-0304

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
RLXMEDICAID (05)AK 

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477845030, enumerated as an "organization" on May 13, 2011.

The provider is located at 2649A CARROLL PL ANCHORAGE, AK 99508 and the phone number is (907) 929-0304.

Assisted Living Facility with taxonomy code 310400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.