NPIMap

Organization Active NPI

La Familia, Inc.

Doing business as La Familia-Namaste

  • Community/Behavioral Health Agency
  • Albuquerque, NM
National Provider Identifier
1083771760
Registry record updated Nov 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LA FAMILIA, INC.
Doing business as
La Familia-Namaste
Practice address
2400 Wellesley Dr NE
Albuquerque, NM 87107-1812
Phone
(505) 766-9361
Fax
(505) 243-2252
NPI assigned
Jan 2, 2007
Last updated
Nov 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2016

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

Authorized official

Name
Audrey C. Becker
Title
Credentialing Administrator
Phone
(505) 918-4367

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NM Primary

Addresses

Primary practice location

2400 Wellesley Dr NE
Albuquerque, NM 87107-1812

Mailing address

2400 Wellesley Dr NE
Albuquerque, NM 87107-1812
Phone (505) 766-9361

Other identifiers 3

IdentifierTypeStateIssuer
Q0475MedicaidNM
M0892MedicaidNM
P6125MedicaidNM

Other names 1

  • La Familia-Namaste Doing business as

National Provider Directory

National Provider Directory
Tax ID family
La Familia Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478131200000",
    "number": "1083771760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 WELLESLEY DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871071812",
            "telephone_number": "505-766-9361",
            "fax_number": "505-243-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 WELLESLEY DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871071812",
            "telephone_number": "505-766-9361",
            "fax_number": "505-243-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA FAMILIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2016-11-03",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CREDENTIALING ADMINISTRATOR",
        "authorized_official_telephone_number": "505-918-4367"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q0475",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M0892",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P6125",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Familia-Namaste",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; 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.