Colony Manor at Village Park Assisted Living Home
NPI 1790002459 · Assisted Living Facility · Wasilla, AK
Colony Manor at Village Park Assisted Living Home is a Assisted Living Facility organization in Wasilla, AK (NPI 1790002459).
Provider details
- NPI number
- 1790002459
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Nathan Dahl, Administrator(907) 373-1880
- License
- 100649 (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
16 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
Registry dates
- Enumerated
- 2010-04-21
- Last updated
- 2010-04-21
Frequently asked questions
- What is Colony Manor at Village Park Assisted Living Home's NPI number?
- Colony Manor at Village Park Assisted Living Home's National Provider Identifier (NPI) is 1790002459, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Colony Manor at Village Park Assisted Living Home?
- Colony Manor at Village Park Assisted Living Home is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Colony Manor at Village Park Assisted Living Home located?
- Colony Manor at Village Park Assisted Living Home's practice location on file with NPPES is 2051 Porcupine Tr, Wasilla, AK 99654.
- What is Colony Manor at Village Park Assisted Living Home's phone number?
- The practice phone number listed in the NPPES registry for Colony Manor at Village Park Assisted Living Home is (907) 373-1880.
- Who is the authorized official for Colony Manor at Village Park Assisted Living Home?
- The authorized official listed on Colony Manor at Village Park Assisted Living Home's NPPES record is Nathan Dahl, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Colony Manor at Village Park Assisted Living Home's NPI active?
- Yes — Colony Manor at Village Park Assisted Living Home's NPI (1790002459) is active in the NPPES registry as of the last update on 2010-04-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.