AUTUMN SUNRISE
NPI 1699962415
Assisted Living Facility in Eagle River, AK

Active since September 25, 2007
19216 CITATION RD, EAGLE RIVER, AK 99577(907) 351-0569 Get Directions Write a Review

NPPES record last updated: September 19, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Autumn Sunrise NPPES

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

AUTUMN SUNRISE (NPI 1699962415) is a healthcare organization registered as an assisted living facility in Eagle River, Alaska and active in the NPI registry since September 2007. The organization lists Candis Denise Bishop, Owner, as its authorized official.

NPPES Registry Identity

NPI1699962415
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameMOOSE SHACK COFFEE
Location Address19216 CITATION RDEagle River, AK 99577-8416
Mailing Address7531 Randamar PlAnchorage, AK 99507-5718 · (907) 351-0569
Organization SubpartNo
Authorized OfficialCandis Denise BishopOwner · (907) 351-0569
Enumeration DateSeptember 25, 2007
Last NPPES UpdateSeptember 19, 2014
NPI 1699962415 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

Other Names 1

Doing Business AsAutumn Sunrise

Other Identifiers 1

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.

Assisted Living Facility
19216 CITATION RD
EAGLE RIVER, AK 99577
Assisted Living Facility
19216 CITATION RD
EAGLE RIVER, AK 99577
Assisted Living Facility
19216 CITATION RD
EAGLE RIVER, AK 99577

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 Moose Shack Coffee's NPI number?

The NPI number for Moose Shack Coffee is 1699962415. It was assigned to this organization in the NPPES registry on September 25, 2007.

Where is Moose Shack Coffee located?

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

What is Moose Shack Coffee'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 Moose Shack Coffee was last updated on September 19, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.