Provider Demographics
NPI:1073305546
Name:CELESTIAL CARE II ALH LLC
Entity type:Organization
Organization Name:CELESTIAL CARE II ALH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KEISSIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GADIANA
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:907-331-8730
Mailing Address - Street 1:3920 EASTWAY LOOP
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99504-4437
Mailing Address - Country:US
Mailing Address - Phone:907-331-8730
Mailing Address - Fax:
Practice Address - Street 1:3920 EASTWAY LOOP
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99504-4437
Practice Address - Country:US
Practice Address - Phone:907-331-8730
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-20
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility