Sandy, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

2009 Issued in NM

Legal business name

SANDY, INC.

Practice address

2600 S 9TH St
Tucumcari, NM 88401-3711

Phone

(505) 461-8501

Fax

(505) 461-1226

NPI assigned

Mar 28, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Sandra Lee Bowen

Title

Owner

Phone

(505) 461-8501

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265551337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 S 9TH ST",
            "city": "TUCUMCARI",
            "state": "NM",
            "postal_code": "884013711",
            "telephone_number": "505-461-8501",
            "fax_number": "505-461-1226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 S 9TH ST",
            "city": "TUCUMCARI",
            "state": "NM",
            "postal_code": "884013711",
            "telephone_number": "505-461-8501",
            "fax_number": "505-461-1226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-461-8501",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NM",
            "license": "2009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mudassir Mubeen Saleemi, M.D.
• Lesa D. Salvador, FOSTER CARE PROG COR
• Nemie Salvador
• Susan Sandoval
• Vicky Monica Sandoval, ASSOCIATE SOCIAL WOR
• Johnnie Marie Santos, BS
• Abel Sena
• Ethel Shaw
• Mark Anthony Silla, LPCC
• Linda L. Sims, FNP-C

• Assisted Living Facility in Tucumcari, NM
• Providers in Tucumcari, NM by specialty
• Assisted Living Facility in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.