Organization Active NPI

Choices Center for Independent Living Inc.

  • Case Management Agency
  • Roswell, NM
National Provider Identifier
1265807192
Registry record updated Dec 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
CHOICES CENTER FOR INDEPENDENT LIVING INC.
Practice address
1717 W 2ND St
Suite 115
Roswell, NM 88201-2000
Phone
(575) 627-6727
Fax
(575) 627-6754
NPI assigned
Dec 3, 2015
Last updated
Dec 3, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2015

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

Authorized official

Name
Audra Hudson
Title
Executive Director
Phone
(575) 627-6727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1717 W 2ND St
Suite 115
Roswell, NM 88201-2000

Mailing address

1717 W 2ND St
Suite 115
Roswell, NM 88201-2000
Phone (575) 627-6727

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449100800000",
    "number": "1265807192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 W 2ND ST",
            "address_2": "SUITE 115",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882012000",
            "telephone_number": "575-627-6727",
            "fax_number": "575-627-6754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 W 2ND ST",
            "address_2": "SUITE 115",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882012000",
            "telephone_number": "575-627-6727",
            "fax_number": "575-627-6754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICES CENTER FOR INDEPENDENT LIVING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-03",
        "last_updated": "2015-12-03",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "AUDRA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "575-627-6727"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; 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.