OrganizationActive
Wasilla Group Home LLC
NPI 1699320127 · Assisted Living Facility (Mental Illness) · Wasilla, AK
Provider details
- NPI number
- 1699320127
- Entity type
- Organization
- Primary specialty
- Assisted Living Facility (Mental Illness)Nursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Renne Champagne, Owner Administrator(907) 357-0102
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
3660 W Lynn Dr
Wasilla, AK 99654-0949
Phone: (907) 357-0102
Fax: (907) 631-4253
Street-level locationGet directions
Mailing address
3660 W Lynn Dr
Wasilla, AK 99654-0949
Registry dates
- Enumerated
- 2019-08-01
- Last updated
- 2019-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.