Moose Shack Coffee
NPI 1699962415ActiveOrganization· Assisted Living Facility· Eagle River, AK
Assisted Living Facility in Eagle River, Alaska, registered in NPPES in September 2007. The authorized official on file is Candis Denise Bishop, Owner.
Overview
| NPI | 1699962415 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 25, 2007 |
| Last updated in NPPES | Sep 19, 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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