Moose Shack Coffee
NPI 1699962415 · Assisted Living Facility · Eagle River, AK
Moose Shack Coffee is a Assisted Living Facility organization in Eagle River, AK (NPI 1699962415).
Provider details
- NPI number
- 1699962415
- 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
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
Mailing address
Other names (DBA / former)
- Doing business as
- Autumn Sunrise
Registry dates
- Enumerated
- 2007-09-25
- Last updated
- 2014-09-19
Frequently asked questions
- What is Moose Shack Coffee's NPI number?
- Moose Shack Coffee's National Provider Identifier (NPI) is 1699962415, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Moose Shack Coffee?
- Moose Shack Coffee is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Moose Shack Coffee located?
- Moose Shack Coffee's practice location on file with NPPES is 19216 Citation Rd, Eagle River, AK 99577-8416.
- What is Moose Shack Coffee's phone number?
- The practice phone number listed in the NPPES registry for Moose Shack Coffee is (907) 351-0569.
- Who is the authorized official for Moose Shack Coffee?
- The authorized official listed on Moose Shack Coffee's NPPES record is Candis Bishop, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Moose Shack Coffee's NPI active?
- Yes — Moose Shack Coffee's NPI (1699962415) is active in the NPPES registry as of the last update on 2014-09-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.