WASILLA GROUP HOME LLC
NPI 1699320127
Assisted Living Facility - Assisted Living, Mental Illness in Wasilla, AK

Q: What is Wasilla Group Home LLC's NPI number?

The NPI number for Wasilla Group Home LLC is 1699320127. It was assigned to this organization in the NPPES registry on August 1, 2019.

Q: What is Wasilla Group Home LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

Active since August 01, 2019

3660 W LYNN DR, WASILLA, AK 99654(907) 357-0102(907) 631-4253 Get Directions Write a Review

NPPES record last updated: August 1, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Wasilla Group Home Llc NPPES

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

WASILLA GROUP HOME LLC (NPI 1699320127) is a healthcare organization registered as an assisted living, mental illness in Wasilla, Alaska and active in the NPI registry since August 2019. The organization lists Renne Champagne, Owner Administrator, as its authorized official.

NPPES Registry Identity

NPI1699320127

Entity TypeOrganization

Primary Taxonomy3104A0625X

Legal Business NameWASILLA GROUP HOME LLC

Location Address3660 W LYNN DRWasilla, AK 99654-0949

Mailing Address3660 W Lynn DrWasilla, AK 99654-0949 · (907) 357-0102 · Fax (907) 631-4253

Phone(907) 357-0102

Fax(907) 631-4253

Organization SubpartNo

Authorized OfficialRenne ChampagneOwner Administrator · (907) 357-0102

Enumeration DateAugust 1, 2019

✔ NPI 1699320127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities

Taxonomy Code3104A0625X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

3660 W LYNN DR, Wasilla, AK 99654

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Other Identifiers 1

Medicaid1026476AK

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 Wasilla Group Home LLC's NPI number?

The NPI number for Wasilla Group Home LLC is 1699320127. It was assigned to this organization in the NPPES registry on August 1, 2019.

Where is Wasilla Group Home LLC located?

Wasilla Group Home LLC is located at 3660 W Lynn Dr, Wasilla, AK 99654. The listed phone number is (907) 357-0102.

What is Wasilla Group Home LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Wasilla Group Home LLC was last updated on August 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.