Transitional Living Services

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

105341 Issued in NM

Legal business name

TRANSITIONAL LIVING SERVICES

Practice address

5601 Domingo Rd NE
Albuquerque, NM 87108-1610

Phone

(505) 268-5295

NPI assigned

Jul 7, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Gary B Jackson

Title

Executive Director

Phone

(505) 268-5295

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Transitional Living Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Transitional Living Services, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Albuquerque, NM
  • NPI 1598069338
  NPD tax ID

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309996800000",
    "number": "1285921569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 DOMINGO RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871081610",
            "telephone_number": "505-268-5295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 DOMINGO RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871081610",
            "telephone_number": "505-268-5295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSITIONAL LIVING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-07",
        "last_updated": "2011-07-07",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "505-268-5295",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NM",
            "license": "105341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B9311",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Transformative Counseling Center LLC
• Transformed for Life, LLC
• Transgender Resource Center of New Mexico
• Transitional Hospitals Corporation of New Mexico, LLC
• Transitional Lifestyles Community Inc.
• Transitional Living Services, Inc.
• Transitions Counseling, Inc.
• Transray Diagnostic, Inc
• Transray Diagnostic, Inc
• Transray Diagnostic, Inc.

• Mental Illness Community Based Residential Treatment Facility in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Mental Illness Community Based Residential Treatment Facility in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; 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.