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Organization Active NPI

NM Hobbs Assisted Living, LLC

  • Assisted Living Facility
  • Hobbs, NM
National Provider Identifier
1306987011
Registry record updated Aug 22, 2020
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Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
2085 Issued in NM
Legal business name
NM HOBBS ASSISTED LIVING, LLC
Practice address
200 S Linam St
Hobbs, NM 88240-6040
Phone
(505) 393-2828
Fax
(505) 393-4578
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Michele Rutley
Title
Administrator
Phone
(505) 393-2828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 2085 NM Primary

Addresses

Primary practice location

200 S Linam St
Hobbs, NM 88240-6040

Mailing address

200 S Linam St
Hobbs, NM 88240-6040
Phone (505) 393-2828

Other identifiers 1

IdentifierTypeStateIssuer
21977721MedicaidNM

Other names 1

  • DESERT GARDENS 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": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306987011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S LINAM ST",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "882406040",
            "telephone_number": "505-393-2828",
            "fax_number": "505-393-4578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S LINAM ST",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "882406040",
            "telephone_number": "505-393-2828",
            "fax_number": "505-393-4578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NM HOBBS ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUTLEY",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "505-393-2828",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NM",
            "license": "2085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21977721",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DESERT GARDENS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hobbs, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.