OrganizationNightingale Assisted Living Home LlcAssisted Living FacilityNursing & Custodial Care FacilitiesPractice Address1572 N Heather Meadows Loop, Anchorage, AK 99507-3866(907) 644-8046PECOS EnrollmentBased on the most recent information from CMS, provider Nightingale Assisted Living Home Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:51 AM.Profile DetailsProvider ID1427253137Provider TypeOrganizationFull NameNightingale Assisted Living Home LlcSubpartNoEnumeration Date6/21/2007Last Updated11/18/2008Contact InformationPractice LocationPractice Address1572 N Heather Meadows Loop, Anchorage, AK 99507-3866Phone(907) 644-8046FaxUnlisted FaxMailing LocationMailing Address1503 N Heather Meadows Loop, Anchorage, AK 99507-3866Phone(907) 644-8046FaxUnlisted FaxAuthorized OfficialNameSculley, Myla M (Administrator)Phone(907) 644-8046Provider TaxonomiesCodeDescriptionLicenseCode310400000XPrimaryDescriptionAssisted Living FacilityNursing & Custodial Care FacilitiesLicense100598AlaskaProvider IdentifiersIDDescriptionIssuerIDRL4087DescriptionMedicaidIssuerUnlistedAlaska