NPIMap

Organization Active NPI

Seniorcare, LLC

  • Assisted Living Facility
  • Rio Rancho, NM
National Provider Identifier
1376080192
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
CU00006391 Issued in NM
Legal business name
SENIORCARE, LLC
Practice address
3168 Renaissance Dr SE
Rio Rancho, NM 87124-7633
Phone
(505) 977-1994
Fax
(505) 212-2026
NPI assigned
Jan 31, 2017
Last updated
Jan 31, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2017

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

Authorized official

Name
Benjamin J Lockyer
Title
Cfo
Phone
(505) 977-1994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X CU00006391 NM Primary

Addresses

Primary practice location

3168 Renaissance Dr SE
Rio Rancho, NM 87124-7633

Mailing address

3168 Renaissance Dr SE
Rio Rancho, NM 87124-7633
Phone (505) 977-1994

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1485820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485820800000",
    "number": "1376080192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3168 RENAISSANCE DR SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871247633",
            "telephone_number": "505-977-1994",
            "fax_number": "505-212-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3168 RENAISSANCE DR SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871247633",
            "telephone_number": "505-977-1994",
            "fax_number": "505-212-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIORCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-31",
        "last_updated": "2017-01-31",
        "status": "A",
        "authorized_official_last_name": "LOCKYER",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "505-977-1994"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NM",
            "license": "CU00006391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.