Provider Demographics
NPI:1467945469
Name:CJC LLC
Entity Type:Organization
Organization Name:CJC LLC
Other - Org Name:SUNVIEW CARE ASSISTED LIVING HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CARMINA
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVERA-LEAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-947-7691
Mailing Address - Street 1:711 W 75TH AVE APT B
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99518-2550
Mailing Address - Country:US
Mailing Address - Phone:907-947-7691
Mailing Address - Fax:
Practice Address - Street 1:711 W 75TH AVE APT B
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99518-2550
Practice Address - Country:US
Practice Address - Phone:907-947-7691
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-13
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK101270310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility