Our House On The Lake LLC
Assisted Living Facility in Kenai, AK. Organization (NPI-2).
NPI number1407293145
StatusActive
Last updated in NPPESJun 3, 2013
Details
- NPI
- 1407293145
- Entity type
- Organization (NPI-2)
- Legal business name
- Our House On The Lake LLC
- Organization subpart
- No
- Enumeration date
- Jun 3, 2013
- Last updated
- Jun 3, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | 224 | AK | Yes |
| 310400000X | Assisted Living Facility | 100608 | AK |
Practice location
47710 Interlake DrKenai, AK 99611-9694
Phone 907-776-8684
Mailing address
47710 Interlake DrKenai, AK 99611-9694
Phone 907-776-8684
Authorized official
Bonita R Quale
Sole Member
9077768684
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 10 Assisted Living Facility providers in Kenai · All 593 providers in Kenai
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