Active NPI
CLB Properties Dba Tender Heart
- Assisted Living Facility
- Albuquerque, NM
National Provider Identifier
1104628510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- CLB PROPERTIES DBA TENDER HEART
- Practice address
- 4308 Tulane Dr NE
Albuquerque, NM 87107-4836 - Phone
- (505) 328-2203
- NPI assigned
- Mar 26, 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
- Ms. Charlene Blake
- Title
- Owner
- Phone
- (505) 328-2203
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
4308 Tulane Dr NE
Albuquerque, NM 87107-4836
Mailing address
415 Avital Dr NE
Albuquerque, NM 87123-3891
Phone (505) 328-2203
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742947200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742947200000",
"number": "1104628510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 AVITAL DR NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871233891",
"telephone_number": "505-328-2203",
"fax_number": "800-656-0960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4308 TULANE DR NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871074836",
"telephone_number": "505-328-2203"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLB PROPERTIES DBA TENDER HEART",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-26",
"last_updated": "2025-03-26",
"certification_date": "2025-03-26",
"status": "A",
"authorized_official_last_name": "BLAKE",
"authorized_official_first_name": "CHARLENE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "505-328-2203",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"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 Mar 26, 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.