Organization Active NPI

Dyb

Doing business as Grace Adult Care Home

  • Assisted Living Facility
  • Albuquerque, NM
National Provider Identifier
1285134080
Registry record updated Feb 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
5855 Issued in NM
Legal business name
DYB
Doing business as
Grace Adult Care Home
Practice address
7100 Carriage Rd NE
Albuquerque, NM 87109-2905
Phone
(505) 888-4434
Fax
(505) 293-9899
NPI assigned
Feb 19, 2018
Last updated
Feb 19, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2018

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

Authorized official

Name
Melissa Y DooleyNPI 1790285641
Title
Director
Phone
(505) 363-8499

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 5855 NM Primary

Addresses

Primary practice location

7100 Carriage Rd NE
Albuquerque, NM 87109-2905

Mailing address

7100 Carriage Rd NE
Albuquerque, NM 87109-2905
Phone (505) 888-4434

Other names 1

  • Grace Adult Care Home Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1518998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518998400000",
    "number": "1285134080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 CARRIAGE RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092905",
            "telephone_number": "505-888-4434",
            "fax_number": "505-293-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 CARRIAGE RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092905",
            "telephone_number": "505-888-4434",
            "fax_number": "505-293-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYB",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-19",
        "last_updated": "2018-02-19",
        "status": "A",
        "authorized_official_last_name": "DOOLEY",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "505-363-8499"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NM",
            "license": "5855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace Adult Care Home",
            "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 Feb 19, 2018; 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.