Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

The Moose Shack

Organization Assisted Living Facility · NPI 1629281126

The Moose Shack is an Assisted Living Facility in Eagle River, Alaska. Licensed in Alaska. Registered with an NPI since 2007.

Licensed in
AK
In the registry since
2007

Practice location Address checks out

19216 Citation Rd
Eagle River, AK 99577-8416
Phone: (907) 351-0569
Fax: (888) 291-5028
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence 000277 (AK)

Record details

NPI number1629281126
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Candis Bishop — Ceo · (907) 351-0569
Other names Autumn Sunrise Assisted Living Home
NPI enumeratedMay 8, 2007
Last updated in NPPESOctober 10, 2014
Mailing address19216 Citation Rd, Eagle River, AK 99577-8416

Other providers in Eagle River