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AUTUMN SUNRISE ASSISTED LIVING HOME
NPI 1629281126
Assisted Living Facility in Eagle River, AK

Active since May 08, 2007
19216 CITATION RD, EAGLE RIVER, AK 99577(907) 351-0569(888) 291-5028 Get Directions Write a Review

NPPES record last updated: October 10, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Autumn Sunrise Assisted Living Home NPPES

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

AUTUMN SUNRISE ASSISTED LIVING HOME (NPI 1629281126) is a healthcare organization registered as an assisted living facility in Eagle River, Alaska and active in the NPI registry since May 2007. The organization lists Candis Denise Bishop, Ceo, as its authorized official.

NPPES Registry Identity

NPI1629281126
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameTHE MOOSE SHACK
Location Address19216 CITATION RDEagle River, AK 99577-8416
Mailing Address19216 Citation RdEagle River, AK 99577-8416 · (907) 351-0569 · Fax (888) 291-5028
Phone(907) 351-0569
Fax(888) 291-5028
Organization SubpartNo
Authorized OfficialCandis Denise BishopCeo · (907) 351-0569
Enumeration DateMay 8, 2007
Last NPPES UpdateOctober 10, 2014
✔ NPI 1629281126 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 · 000277
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.
19216 CITATION RD, Eagle River, AK 99577
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Other Names 1

Doing Business AsAutumn Sunrise Assisted Living Home

Other Identifiers 2

Medicaid1030021AK
MedicaidRL09771AK

Other Providers at the Same Location NPPES 3

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

JADES CARE ALH
Assisted Living Facility
19216 CITATION RD
EAGLE RIVER, AK 99577
Anchorage Municipality (907) 602-9990
THE MOOSE SHACK
Assisted Living Facility
19216 CITATION RD
EAGLE RIVER, AK 99577
Anchorage Municipality (907) 351-0569
MOOSE SHACK COFFEE
Assisted Living Facility
19216 CITATION RD
EAGLE RIVER, AK 99577
Anchorage Municipality (907) 351-0569

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 The Moose Shack's NPI number?

The NPI number for The Moose Shack is 1629281126. It was assigned to this organization in the NPPES registry on May 8, 2007. The provider is doing business as Autumn Sunrise Assisted Living Home.

Where is The Moose Shack located?

The Moose Shack is located at 19216 Citation Rd, Eagle River, AK 99577. The listed phone number is (907) 351-0569.

What is The Moose Shack'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 The Moose Shack was last updated on October 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.