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MR. GERALD BRUCE JOHNSON
NPI 1609443217
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Wasilla, AK

Active since June 10, 2021
4092 W MARBLE WAY, WASILLA, AK 99654(907) 227-3524 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2021, Jun 10, 2021 (2 updates tracked since 2021).

About Mr. Gerald Bruce Johnson NPPES

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

MR. GERALD BRUCE JOHNSON (NPI 1609443217) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Wasilla, Alaska and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1609443217
Entity TypeIndividualMale
Primary Taxonomy320900000X
Provider Legal NameMR. GERALD BRUCE JOHNSON
Location Address4092 W MARBLE WAYWasilla, AK 99654-8752
Mailing Address4092 W Marble WayWasilla, AK 99654-8752 · (907) 715-4403
Phone(907) 227-3524
Sole ProprietorYes
Enumeration DateJune 10, 2021
Last NPPES UpdateOctober 15, 20252 updates tracked since enumeration
NPPES CertifiedOctober 15, 2025
✔ NPI 1609443217 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
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
4092 W MARBLE WAY, Wasilla, AK 99654
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Other Identifiers 2

Medicaid1705395AK
Medicaid1722922AK

Other Providers at the Same Location NPPES 2

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

GENTLE HANDS CARE ASSISTED LIVING HOME LLC
Community/Behavioral Health
4092 W MARBLE WAY
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 201-1985
GENTLE HANDS CARE
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
4092 W MARBLE WAY
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 227-3524

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 Gerald Johnson's NPI number?

The NPI number for Gerald Johnson is 1609443217. It was assigned to this individual provider in the NPPES registry on June 10, 2021.

Where is Gerald Johnson located?

Gerald Johnson practices at 4092 W Marble Way, Wasilla, AK 99654. The listed phone number is (907) 227-3524.

What is Gerald Johnson'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 Gerald Johnson was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.