Preferred Assisted Living, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

2084 Issued in NM

Legal business name

PREFERRED ASSISTED LIVING, INC.

Practice address

5500 San Mateo Blvd NE
Suite 114
Albuquerque, NM 87109-6299

Phone

(505) 884-3830

Fax

(505) 828-1091

NPI assigned

Jun 10, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Matthew Raymond Ayers

Title

Owner/Ceo

Phone

(505) 884-3830

Specialties & licenses 7

Addresses

Other names 1

• Albuquerque Preferred Assisted Living, Inc. Former legal business name

Locations

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244592000000",
    "number": "1306072822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 SAN MATEO BLVD NE",
            "address_2": "SUITE 114",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871096299",
            "telephone_number": "505-884-3830",
            "fax_number": "505-828-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 SAN MATEO BLVD NE",
            "address_2": "SUITE 114",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871096299",
            "telephone_number": "505-884-3830",
            "fax_number": "505-828-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED ASSISTED LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-10",
        "last_updated": "2009-06-10",
        "status": "A",
        "authorized_official_last_name": "AYERS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "505-884-3830",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NM",
            "license": "2064",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NM",
            "license": "2125",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NM",
            "license": "2024",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NM",
            "license": "5777",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NM",
            "license": "2065",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NM",
            "license": "2084",
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NM",
            "license": "2068",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Albuquerque Preferred Assisted Living, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Assisted Living Facility in Albuquerque, NM
• Providers in Albuquerque, 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 Jun 10, 2009; 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.