Organization Active NPI

Laurel Skies LLC

Doing business as Laurel Skies Healthcare

  • Skilled Nursing Facility
  • Albuquerque, NM
National Provider Identifier
1275642803
Registry record updated Aug 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1045 Issued in NM
Legal business name
LAUREL SKIES LLC
Doing business as
Laurel Skies Healthcare
Practice address
9150 McMahon Blvd NW
Albuquerque, NM 87114-5201
Phone
(505) 898-7986
Fax
(505) 898-0024
NPI assigned
Aug 29, 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 1045 NM Primary

Addresses

Primary practice location

9150 McMahon Blvd NW
Albuquerque, NM 87114-5201

Mailing address

9150 McMahon NW
Albuquerque, NM 87114-5201
Phone (505) 898-7986

Other identifiers 2

IdentifierTypeStateIssuer
56076061MedicaidNM
3200534490OtherCLIA

Other names 1

  • Laurel Skies 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": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1275642803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9150 MCMAHON NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145201",
            "telephone_number": "505-898-7986",
            "fax_number": "505-898-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 MCMAHON BLVD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145201",
            "telephone_number": "505-898-7986",
            "fax_number": "505-898-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL SKIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "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": "1045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56076061",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "3200534490",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laurel Skies 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.