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Colony Manor at Village Park Assisted Living Home

Assisted Living Facility in Wasilla, AK · enumerated 2010 · authorized official Nathan Dahl, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1790002459

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Registry record

Entity type Organization (Type 2)
Legal business name Colony Manor at Village Park Assisted Living Home
Practice address 2051 Porcupine Tr, Wasilla, AK, 99654
Fax (907) 373-1820
Enumeration date Apr 21, 2010
Last updated in NPPES Apr 21, 2010

Taxonomy & classification

310400000X Assisted Living Facility Nursing & Custodial Care Facilities · License 100649 (AK) Primary

Authorized official

Name Nathan Dahl
Title Administrator

Other identifiers

Identifier Type State Issuer
RL97972 Medicaid AK -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Colony Manor at Village Park Assisted Living Home?
NPPES lists Nathan Dahl (Administrator) as the authorized official for this organization.
What is the NPI number for Colony Manor at Village Park Assisted Living Home?
The NPI for Colony Manor at Village Park Assisted Living Home is 1790002459, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-04-21.