Main Street Assisted Living, Inc.
LBN: Main Street Assisted Living, Inc.
Main Street Assisted Living, Inc. is an health care organization with primary practice located at 4136 Main St , Homer AK 99603-7035. The organization recently has 3 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Transportation Services / Non-emergency Medical Transport (VAN), Respite Care Facility / Respite Care. Nursing & Custodial Care Facilities / Assisted Living Facility is the primary health care specialty.
Main Street Assisted Living, Inc. can be contacted via phone (907) 235-6149, or through Babcock, Ruth E via phone (907) 235-6149.
Contact Information
Primary practice address
4136 Main St
Homer AK 99603-7035
Phone: (907) 235-6149
Fax: (907) 235-6149
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Assisted Living Facility | 310400000X | 00242 | Alaska |
| Transportation Services / Non-emergency Medical Transport (VAN) | 343900000X | 00242 | Alaska |
| Respite Care Facility / Respite Care | 385H00000X | 00242 | Alaska |
Profile Details
| NPI number | 1023134178 |
|---|---|
| LBN Legal business name | Main Street Assisted Living, Inc. |
| DBA Doing business as | |
| Authorized official | Babcock, Ruth E |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 21st, 2007 |
| Last updated | Apr 13th, 2010 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023134178 | NPPES |
| Alaska | MEDICAID | RL8609 |
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