Cielito Lindo Waiver Services, LLC

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

CIELITO LINDO WAIVER SERVICES, LLC

Practice address

2327 Calle Reina
Santa Fe, NM 87507-6909

Phone

(505) 920-6031

NPI assigned

May 19, 2023

Organization subpart

No

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

Authorized official

Name

Pedro Gonzalez, MBANPI 1720780356

Title

Director

Phone

(505) 920-6031

Specialties & licenses 1

Addresses

Other names 1

• Cielo Lindo Former legal business name

Tax ID family

Cielito Lindo Waiver Services LLC2 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.

• Cielo Lindo

  • Case Management Agency
  • Santa Fe, NM
  • NPI 1427764414
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pedro Gonzalez, MBA

  • Case Manager/Care Coordinator
  • Santa Fe, NM
  • NPI 1720780356

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1684454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684454400000",
    "number": "1316638232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2327 CALLE REINA",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875076909",
            "telephone_number": "505-920-6031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2327 CALLE REINA",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875076909",
            "telephone_number": "505-920-6031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIELITO LINDO WAIVER SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-19",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "505-920-6031",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cielo Lindo",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Audrey L. Chumley, M.S.
• Samuel Chun, MD
• Mona Chung, MS, MA, LPCC
• Margo Mary Churchill, LMHC
• Raisa Chyorny, MD
• Cielo Lindo
• Lucia Cies, M D P C
• Colleen Claire Cilwick, LMSW
• Amy Lynn Cincinat
• Alexis Cintron

• All providers in Santa Fe, NM
• Contractor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; 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.