Provider Demographics
NPI:1366835456
Name:JOYFUL HEARTS ASSISTED LIVING HOME LLC
Entity Type:Organization
Organization Name:JOYFUL HEARTS ASSISTED LIVING HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/RESISDENT MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DEANY
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:SANTANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-341-4948
Mailing Address - Street 1:8733 RUNAMUCK PL
Mailing Address - Street 2:UNIT B
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99502-5630
Mailing Address - Country:US
Mailing Address - Phone:907-341-4948
Mailing Address - Fax:907-341-4948
Practice Address - Street 1:8733 RUNAMUCK PL
Practice Address - Street 2:UNIT B
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99502-5630
Practice Address - Country:US
Practice Address - Phone:907-341-4948
Practice Address - Fax:907-341-4948
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-12
Last Update Date:2015-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1003318310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility