NPIMap

Organization Active NPI

Angel Wings

  • Assisted Living Facility
  • Albuquerque, NM
National Provider Identifier
1093268104
Registry record updated Jul 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
2256 Issued in NM
Legal business name
ANGEL WINGS
Practice address
19 Garden Park Cir NW
Albuquerque, NM 87107-2655
Phone
(505) 312-8674
NPI assigned
Jul 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2016

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

Authorized official

Name
Karolayn Keller
Title
Owner
Phone
(505) 312-8674

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 2256 NM Primary

Addresses

Primary practice location

19 Garden Park Cir NW
Albuquerque, NM 87107-2655

Mailing address

19 Garden Park Cir NW
Albuquerque, NM 87107-2655
Phone (505) 312-8674

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469491200000",
    "number": "1093268104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 GARDEN PARK CIR NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871072655",
            "telephone_number": "505-312-8674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 GARDEN PARK CIR NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871072655",
            "telephone_number": "505-312-8674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL WINGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-26",
        "last_updated": "2016-07-26",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "KAROLAYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-312-8674"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NM",
            "license": "2256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 26, 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.