Provider Demographics
NPI:1790086247
Name:ASSISTED LIVING TRANSITIONS
Entity Type:Organization
Organization Name:ASSISTED LIVING TRANSITIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:
Authorized Official - Last Name:AIKEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-727-2206
Mailing Address - Street 1:PO BOX 201179
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99520-1179
Mailing Address - Country:US
Mailing Address - Phone:907-727-2206
Mailing Address - Fax:
Practice Address - Street 1:3154 CAMPBELL AIRSTRIP RD
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99504-3828
Practice Address - Country:US
Practice Address - Phone:907-727-2206
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-15
Last Update Date:2010-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK937663320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities