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Main Street Assisted Living, Inc.
Respite Care in Homer, Alaska
NPI 1023134178

Main Street Assisted Living, Inc. is a Respite Care based in Homer, AK. Main Street Assisted Living, Inc. practices in Homer, AK. The NPI Number for Main Street Assisted Living, Inc. is 1023134178 and holds a License No. 00242 (Alaska).

The current practice location address for Main Street Assisted Living, Inc. is 4136 Main St, Homer, AK and can be reached out via phone at 907-235-6149 and via fax at 907-235-6149.

Location: 4136 Main St, Homer, AK, 99603-7035
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1023134178
Provider Name
Main Street Assisted Living, Inc.
Credential
Provider Entity Type
Organization
Address
4136 Main St, Homer, AK, 99603-7035
Phone Number
907-235-6149
Fax Number
907-235-6149
Provider Enumeration Date
03/21/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RL8609 05 AK
institution
Provider Business Practice Location Address Details
Address
4136 Main St
City
Homer
State
Alaska
Zip
99603-7035
Phone Number
907-235-6149
Fax Number
907-235-6149
person
Provider Business Mailing Address Details
Address
4136 Main St
City
Homer
State
Alaska
Zip
99603-7035
Phone Number
907-235-6149
Fax Number
907-235-6149
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
00242 (Alaska)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
person
Provider's Taxonomy Details 2
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
00242 (Alaska)
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
person
Provider's Taxonomy Details 3
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
385H00000X
License No.
00242 (Alaska)
Definition
Definition to come.
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