Organization Active NPI

Laurel Healthcare LLC

  • Skilled Nursing Facility
  • Albuquerque, NM
National Provider Identifier
1205929189
Registry record updated Aug 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
5241 Issued in NM
Legal business name
LAUREL HEALTHCARE LLC
Practice address
103 Hospital Loop NE
Albuquerque, NM 87109-2115
Phone
(505) 348-8300
Fax
(505) 348-8270
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2008

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

Authorized official

Name
Mr. Alan Zampini
Title
Member
Phone
(505) 304-5152

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 5241 NM Primary

Addresses

Primary practice location

103 Hospital Loop NE
Albuquerque, NM 87109-2115

Mailing address

103 Hospital Loop NE
Albuquerque, NM 87109-2115
Phone (505) 348-8300

Other identifiers 2

IdentifierTypeStateIssuer
I1175MedicaidNM
3200534761OtherCLIA

Other names 1

  • Laurel Heights Healthcare Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1205929189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 HOSPITAL LOOP NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092115",
            "telephone_number": "505-348-8300",
            "fax_number": "505-348-8270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 HOSPITAL LOOP NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092115",
            "telephone_number": "505-348-8300",
            "fax_number": "505-348-8270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "ZAMPINI",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "505-304-5152",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NM",
            "license": "5241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "I1175",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "3200534761",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laurel Heights Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 5, 2008; 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.