Self-Directed Choices, LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

SELF-DIRECTED CHOICES, LLC

Practice address

3909 Juan Tabo Blvd NE
Suite 2
Albuquerque, NM 87111-3992

Phone

(505) 508-1663

Fax

(888) 541-7076

NPI assigned

Apr 30, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Sandra M Skaar, MSW

Title

Owner/Executive Director

Phone

(505) 508-1663

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1367280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367280000000",
    "number": "1093150328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3909 JUAN TABO BLVD NE",
            "address_2": "SUITE 2",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113992",
            "telephone_number": "505-508-1663",
            "fax_number": "888-541-7076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3909 JUAN TABO BLVD NE",
            "address_2": "SUITE 2",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113992",
            "telephone_number": "505-508-1663",
            "fax_number": "888-541-7076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF-DIRECTED CHOICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-30",
        "last_updated": "2013-04-30",
        "status": "A",
        "authorized_official_last_name": "SKAAR",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "505-508-1663",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09285211",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Case Management Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; 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.