Provider Demographics
NPI:1427584234
Name:SAINT PIO ASSISTED LIVING HOME LLC
Entity Type:Organization
Organization Name:SAINT PIO ASSISTED LIVING HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBIN CRISTOPHER
Authorized Official - Middle Name:PENTECOSTES
Authorized Official - Last Name:PORTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-952-1079
Mailing Address - Street 1:7924 RESURRECTION DR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99504-4729
Mailing Address - Country:US
Mailing Address - Phone:907-952-1079
Mailing Address - Fax:
Practice Address - Street 1:7924 RESURRECTION DR
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99504-4729
Practice Address - Country:US
Practice Address - Phone:907-952-1079
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK101171310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility