NPIMap

Organization Active NPI

Elite Healthcare New Mexico

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Albuquerque, NM
National Provider Identifier
1174929509
Registry record updated Nov 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
License
DC1936 Issued in NM
Legal business name
ELITE HEALTHCARE NEW MEXICO
Practice address
4301 The 25 Way NE # B
Albuquerque, NM 87109-5850
Phone
(505) 200-2306
Fax
(505) 835-5439
NPI assigned
Nov 12, 2014
Last updated
Nov 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2014

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

Authorized official

Name
Dr. Christina Hall, D.C.
Title
Clinic Director
Phone
(505) 200-2306

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC1936 NM
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X DC1936 NM
Physical Therapy Clinic/Center 261QP2000X DC1936 NM
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X DC1936 NM Primary

Addresses

Primary practice location

4301 The 25 Way NE # B
Albuquerque, NM 87109-5850

Mailing address

PO Box 882
Frisco, TX 75034-0015
Phone (972) 720-9943

National Provider Directory

National Provider Directory

Locations

4301 The 25 Way NE
Ste B
Albuquerque, NM 87109
Phone (505) 200-2306

NPI Registry JSON

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

{
    "created_epoch": "1415750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415750400000",
    "number": "1174929509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 882",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750340015",
            "telephone_number": "972-720-9943",
            "fax_number": "972-720-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 THE 25 WAY NE # B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871095850",
            "telephone_number": "505-200-2306",
            "fax_number": "505-835-5439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE HEALTHCARE NEW MEXICO",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-12",
        "last_updated": "2014-11-12",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "505-200-2306",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "DC1936",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NM",
            "license": "DC1936",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NM",
            "license": "DC1936",
            "primary": false
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "NM",
            "license": "DC1936",
            "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 Nov 12, 2014; 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.