Provider Demographics
NPI:1992004675
Name:DAY SPRING ASSISTED LIVING HOME, LLC.
Entity Type:Organization
Organization Name:DAY SPRING ASSISTED LIVING HOME, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:IRENEROSE
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTILLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-947-2890
Mailing Address - Street 1:3431 W 32ND AVE
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99517-1632
Mailing Address - Country:US
Mailing Address - Phone:907-333-8921
Mailing Address - Fax:907-677-0344
Practice Address - Street 1:4732 DENALI ST UNIT 2
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-7367
Practice Address - Country:US
Practice Address - Phone:907-947-2890
Practice Address - Fax:907-929-2686
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-21
Last Update Date:2011-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK100848310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility