NPIMap

Organization Active NPI

Pueblo of Isleta Assisted Living Facility

  • Assisted Living Facility
  • Isleta, NM
National Provider Identifier
1184048423
Registry record updated Feb 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
PUEBLO OF ISLETA ASSISTED LIVING FACILITY
Practice address
1001 Tribal Road 40
Isleta, NM 87022
Phone
(505) 869-3111
Fax
(505) 869-7596
NPI assigned
Feb 6, 2014
Last updated
Feb 6, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2014

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

Authorized official

Name
Mr. Eddie Paul Torres Sr.
Title
Governor
Phone
(505) 869-3111

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NM Primary
Alzheimer Center (Dementia Center) 311500000X NM

Addresses

Primary practice location

1001 Tribal Road 40
Isleta, NM 87022

Mailing address

PO Box 1270
Isleta, NM 87022-1270
Phone (505) 869-3111

National Provider Directory

National Provider Directory
Tax ID family
Pueblo of Isleta Behavioral Health9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1391644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391644800000",
    "number": "1184048423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1270",
            "city": "ISLETA",
            "state": "NM",
            "postal_code": "870221270",
            "telephone_number": "505-869-3111",
            "fax_number": "505-869-7596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 TRIBAL ROAD 40",
            "city": "ISLETA",
            "state": "NM",
            "postal_code": "87022",
            "telephone_number": "505-869-3111",
            "fax_number": "505-869-7596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUEBLO OF ISLETA ASSISTED LIVING FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-06",
        "last_updated": "2014-02-06",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "GOVERNOR",
        "authorized_official_telephone_number": "505-869-3111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NM",
            "license": null,
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "NM",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Isleta, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.