Manor Estates Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

5019 Issued in NM

Legal business name

MANOR ESTATES INC

Practice address

500 Louisiana Blvd NE
Albuquerque, NM 87108-2051

Phone

(505) 255-1717

Fax

(505) 255-5188

NPI assigned

Jul 23, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Danny N Milam

Title

General Partner

Phone

(318) 255-1514

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Princeton Place Doing business as

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195603200000",
    "number": "1124049044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N TRENTON ST",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712704321",
            "telephone_number": "318-255-1514",
            "fax_number": "318-255-1517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LOUISIANA BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871082051",
            "telephone_number": "505-255-1717",
            "fax_number": "505-255-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANOR ESTATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2007-11-21",
        "status": "A",
        "authorized_official_last_name": "MILAM",
        "authorized_official_first_name": "DANNY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "318-255-1514",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NM",
            "license": "5019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "I0001",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Princeton Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Skilled Nursing Facility in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; 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.