Provider Demographics
NPI:1114040730
Name:CLEARVIEW HAVEN ASSISTED LIVING HOME
Entity Type:Organization
Organization Name:CLEARVIEW HAVEN ASSISTED LIVING HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JAIME
Authorized Official - Middle Name:
Authorized Official - Last Name:ATHERTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-224-5220
Mailing Address - Street 1:201 BEAR DR
Mailing Address - Street 2:
Mailing Address - City:SEWARD
Mailing Address - State:AK
Mailing Address - Zip Code:99664-2361
Mailing Address - Country:US
Mailing Address - Phone:907-224-5220
Mailing Address - Fax:
Practice Address - Street 1:201 BEAR DRIVE
Practice Address - Street 2:
Practice Address - City:SEWARD
Practice Address - State:AL
Practice Address - Zip Code:99664
Practice Address - Country:US
Practice Address - Phone:907-224-5220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK277192310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility