Organization Active NPI

Senior Care Options, Inc.

  • Community/Behavioral Health Agency
  • Albuquerque, NM
National Provider Identifier
1154621043
Registry record updated Oct 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
M-2217 Issued in NM
Legal business name
SENIOR CARE OPTIONS, INC.
Practice address
2700 Vista Grande Dr NW Unit 10
Albuquerque, NM 87120-1040
Phone
(505) 836-5794
Fax
(505) 836-2254
NPI assigned
Oct 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2010

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

Authorized official

Name
Sharon Jean Miles, LMSWNPI 1548562770
Title
Owner, President
Phone
(505) 836-5794

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X M-2217 NM Primary

Addresses

Primary practice location

2700 Vista Grande Dr NW Unit 10
Albuquerque, NM 87120-1040

Mailing address

2700 Vista Grande Dr NW Unit 10
Albuquerque, NM 87120-1040
Phone (505) 836-5794

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141001000542 NM Part B Supplier - Clinic/Group Practice 1850511569 Receives reassigned benefits from 1 practitioner
Practice locations: Albuquerque, NM

National Provider Directory

National Provider Directory

Locations

2315 San Pedro Dr NE
Ste F1
Albuquerque, NM 87110
Phone (505) 553-1725

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288051200000",
    "number": "1154621043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 VISTA GRANDE DR NW UNIT 10",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201040",
            "telephone_number": "505-836-5794",
            "fax_number": "505-836-2254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 VISTA GRANDE DR NW UNIT 10",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201040",
            "telephone_number": "505-836-5794",
            "fax_number": "505-836-2254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CARE OPTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-26",
        "last_updated": "2010-10-26",
        "status": "A",
        "authorized_official_last_name": "MILES",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "505-836-5794",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "M-2217",
            "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 Oct 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.