NPIMap

Organization Active NPI

Rio Sedillo Assisted Living

  • Preferred Provider Organization
  • Los Lunas, NM
National Provider Identifier
1063809085
Registry record updated Apr 16, 2015
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Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
2270 Issued in NM
Legal business name
RIO SEDILLO ASSISTED LIVING
Practice address
133 Camino, Los Chavez
Los Lunas, NM 87031
Phone
(505) 440-3267
NPI assigned
Apr 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2015

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

Authorized official

Name
Mr. Anthony T Sedillo, N/A
Title
Owner
Phone
(505) 261-7380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 2270 NM Primary

Addresses

Primary practice location

133 Camino, Los Chavez
Los Lunas, NM 87031

Mailing address

133 Camino Los Chavez
Los Lunas, NM 87031
Phone (505) 261-7380

Other identifiers 1

IdentifierTypeStateIssuer
O3029929000OtherNMWE HAVE NOT RECEIVED ANY ISSUED NO'S YET,WE ARE DOING MADD FOR MEDICARE

Other names 1

  • N/A Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429142400000",
    "number": "1063809085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 CAMINO LOS CHAVEZ",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "87031",
            "telephone_number": "505-261-7380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 CAMINO, LOS CHAVEZ",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "87031",
            "telephone_number": "505-440-3267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIO SEDILLO ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-16",
        "last_updated": "2015-04-16",
        "status": "A",
        "authorized_official_last_name": "SEDILLO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-261-7380",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "N/A"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NM",
            "license": "2270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WE HAVE NOT RECEIVED ANY ISSUED NO'S YET,WE ARE DOING MADD FOR MEDICARE",
            "identifier": "O3029929000",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Los Lunas, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.