The Moose Shack
NPI 1629472683ActiveOrganization· Assisted Living Facility· Eagle River, AK
Assisted Living Facility in Eagle River, Alaska, registered in NPPES in October 2014. The authorized official on file is Candis Denise Bishop, Owner.
Overview
| NPI | 1629472683 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 20, 2014 |
| Last updated in NPPES | Oct 20, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Assisted Living Facility Primary | 310400000X | 101077 | AK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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