OrganizationImmaculate Concepcion HomeAssisted Living FacilityNursing & Custodial Care FacilitiesPractice Address7110 Miranda Dr, Anchorage, AK 99507-5106(907) 522-5671PECOS EnrollmentBased on the most recent information from CMS, provider Immaculate Concepcion Home 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 ID1770606964Provider TypeOrganizationFull NameImmaculate Concepcion HomeSubpartNoEnumeration Date4/10/2007Last Updated8/22/2020Contact InformationPractice LocationPractice Address7110 Miranda Dr, Anchorage, AK 99507-5106Phone(907) 522-5671Fax(907) 868-3937Mailing LocationMailing Address7110 Miranda Dr, Anchorage, AK 99507-5106Phone(907) 522-5671Fax(907) 868-3937Authorized OfficialNameCuanan, Florence Belmonte (Administrator)Phone(907) 522-5671Provider TaxonomiesCodeDescriptionLicenseCode310400000XPrimaryDescriptionAssisted Living FacilityNursing & Custodial Care FacilitiesLicense000202AlaskaProvider IdentifiersIDDescriptionIssuerIDRL9696DescriptionMedicaidIssuerUnlistedAlaskaIDRL96961DescriptionMedicaidIssuerUnlistedAlaska