Active NPI
Southwest Supported Living LLC
- Developmentally Disabled Services Day Training Agency
- Albuquerque, NM
National Provider Identifier
1013882208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- SOUTHWEST SUPPORTED LIVING LLC
- Practice address
- 712 Branding Iron St SE
Albuquerque, NM 87123-5101 - Phone
- (505) 264-6786
- NPI assigned
- Oct 7, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Shawn Marcos Bunton
- Title
- Ceo
- Phone
- (505) 264-6786
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary |
Addresses
Primary practice location
712 Branding Iron St SE
Albuquerque, NM 87123-5101
Mailing address
712 Branding Iron St SE
Albuquerque, NM 87123-5101
Phone (505) 264-6786
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Nurse
- Albuquerque, NM
- NPI 1134496961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759795200000",
"number": "1013882208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "712 BRANDING IRON ST SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871235101",
"telephone_number": "505-264-6786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "712 BRANDING IRON ST SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871235101",
"telephone_number": "505-264-6786"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHWEST SUPPORTED LIVING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-07",
"last_updated": "2025-10-07",
"certification_date": "2025-10-07",
"status": "A",
"authorized_official_last_name": "BUNTON",
"authorized_official_first_name": "SHAWN",
"authorized_official_middle_name": "MARCOS",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "505-264-6786",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
- Southwest Recovery and Wellness LLC
- Southwest Residential Living
- Southwest Respiratory LLC
- Southwest Retina PC
- Southwest Services for the Deaf, Inc
- Southwest Therapies LLC
- Southwest Urology Associates PC
- Southwest Urology Specialists LLC
- Southwest Women'S Oncology Inc.
- Southwest Women'S Sonography, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.