Provider Demographics
NPI:1942174214
Name:SANTA RITA ASSISTED LIVING HOME LLC
Entity type:Organization
Organization Name:SANTA RITA ASSISTED LIVING HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:DUMO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-317-6993
Mailing Address - Street 1:7110 MIRANDA DR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99507-5106
Mailing Address - Country:US
Mailing Address - Phone:907-522-5671
Mailing Address - Fax:907-743-7587
Practice Address - Street 1:7110 MIRANDA DR
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99507-5106
Practice Address - Country:US
Practice Address - Phone:907-522-5671
Practice Address - Fax:907-743-7587
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-30
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility