Paloma Blanca Health Care Associates, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1076 Issued in NM

Legal business name

PALOMA BLANCA HEALTH CARE ASSOCIATES, LLC

Doing business as

Paloma Blanca Health and Rehabilitation

Practice address

1509 University Blvd NE
Albuquerque, NM 87102-1708

Phone

(505) 243-2257

Fax

(505) 247-1784

NPI assigned

Jun 4, 2006

Organization subpart

No

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

Authorized official

Name

Catherine M. Pannell

Title

Manager

Phone

(505) 243-2257

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Paloma Blanca Health and Rehabilitation Doing business as

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465430400000",
    "number": "1134167679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 UNIVERSITY BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871021708",
            "telephone_number": "505-243-2257",
            "fax_number": "505-247-1784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 UNIVERSITY BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871021708",
            "telephone_number": "505-243-2257",
            "fax_number": "505-247-1784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALOMA BLANCA HEALTH CARE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2016-06-09",
        "status": "A",
        "authorized_official_last_name": "PANNELL",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "505-243-2257"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NM",
            "license": "1076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021218915",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "96323795",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7103233",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paloma Blanca Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rickie Palmer, LPCC
• Theresa A. Palmer, SLP
• Vanessa Palmer
• Kevin Palmquist
• Rosa Palmquist
• Nikki L Palomino
• Xilo Palomino, LMSW
• Jennifer Palumbo, LCDC
• Rachael Olivia Palumbo
• Christina Pamatian, RHD

• 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 Jun 9, 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.