AUTUMN SUNRISE
NPI 1629472683
Assisted Living Facility in Eagle River, AK

Q: What is The Moose Shack's NPI number?

The NPI number for The Moose Shack is 1629472683. It was assigned to this organization in the NPPES registry on October 20, 2014. The provider is doing business as Autumn Sunrise.

Q: What is The Moose Shack's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for The Moose Shack was last updated on October 20, 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.

Active since October 20, 2014

19216 CITATION RD, EAGLE RIVER, AK 99577(907) 351-0569 Get Directions Write a Review

NPPES record last updated: October 20, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Autumn Sunrise NPPES

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

AUTUMN SUNRISE (NPI 1629472683) is a healthcare organization registered as an assisted living facility in Eagle River, Alaska and active in the NPI registry since October 2014. The organization lists Candis Denise Bishop, Owner, as its authorized official.

NPPES Registry Identity

NPI1629472683

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

Phone(907) 351-0569

Organization SubpartNo

Authorized OfficialCandis Denise BishopOwner · (907) 351-0569

Enumeration DateOctober 20, 2014

✔ NPI 1629472683 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 · 101077

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

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 1629472683. It was assigned to this organization in the NPPES registry on October 20, 2014. The provider is doing business as Autumn Sunrise.

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 20, 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.