NPIMap

Organization Active NPI

Casa Angelica

  • Intellectual Disabilities Intermediate Care Facility
  • Albuquerque, NM
National Provider Identifier
1013067974
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
5118 Issued in NM
Legal business name
CASA ANGELICA
Practice address
5629 Isleta Blvd SW
Albuquerque, NM 87105-6623
Phone
(505) 877-5763
Fax
(505) 873-2786
NPI assigned
Jan 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Louise Turner
Title
Administrator
Phone
(505) 877-5763

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 5118 NM Primary

Addresses

Primary practice location

5629 Isleta Blvd SW
Albuquerque, NM 87105-6623

Mailing address

5629 Isleta Blvd SW
Albuquerque, NM 87105-6623
Phone (505) 877-5763

Other identifiers 1

IdentifierTypeStateIssuer
M-0664MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 32G033

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
Casa Angelica
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Aug 24, 1992
Last certification
Apr 4, 2025
Beds
16
Ownership / control type
Private (non-profit)
Facility address
5629 Isleta Boulevard SW
Albuquerque, NM 87105

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D0916190Casa Angelica5629 Isleta Boulevard SW, Albuquerque, NM 87105Certificate of waiverJun 16, 2028

National Provider Directory

National Provider Directory

Locations

5629 Isleta Blvd SW
Albuquerque, NM 87105
Phone (505) 877-5763

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1013067974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5629 ISLETA BLVD SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871056623",
            "telephone_number": "505-877-5763",
            "fax_number": "505-873-2786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5629 ISLETA BLVD SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871056623",
            "telephone_number": "505-877-5763",
            "fax_number": "505-873-2786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA ANGELICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "LOUISE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "505-877-5763",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NM",
            "license": "5118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M-0664",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.