OrganizationActive
The Moose Shack
NPI 1629472683 · Assisted Living Facility · Eagle River, AK
The Moose Shack is a Assisted Living Facility organization in Eagle River, AK (NPI 1629472683).
Provider details
- NPI number
- 1629472683
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Candis Bishop, Owner(907) 351-0569
- License
- 101077 (AK)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
19216 Citation Rd
Eagle River, AK 99577-8416
Phone: (907) 351-0569
Street-level locationGet directions
Mailing address
19216 Citation Rd
Eagle River, AK 99577-8416
Other names (DBA / former)
- Doing business as
- Autumn Sunrise
Registry dates
- Enumerated
- 2014-10-20
- Last updated
- 2014-10-20
Frequently asked questions
- What is The Moose Shack's NPI number?
- The Moose Shack's National Provider Identifier (NPI) is 1629472683, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is The Moose Shack?
- The Moose Shack is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is The Moose Shack located?
- The Moose Shack's practice location on file with NPPES is 19216 Citation Rd, Eagle River, AK 99577-8416.
- What is The Moose Shack's phone number?
- The practice phone number listed in the NPPES registry for The Moose Shack is (907) 351-0569.
- Who is the authorized official for The Moose Shack?
- The authorized official listed on The Moose Shack's NPPES record is Candis Bishop, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is The Moose Shack's NPI active?
- Yes — The Moose Shack's NPI (1629472683) is active in the NPPES registry as of the last update on 2014-10-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.