A Center for Function and Creativity

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

75988721 Issued in NM

Legal business name

A CENTER FOR FUNCTION AND CREATIVITY

Practice address

10701 Corrales Blvd NW
Suite 17
Albuquerque, NM 87114-1087

Phone

(505) 890-0868

Fax

(505) 898-0169

NPI assigned

Apr 6, 2011

Last updated

Apr 6, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert Hobbs

Title

Ceo

Phone

(505) 890-0868

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302048000000",
    "number": "1386933620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10701 CORRALES BLVD NW",
            "address_2": "SUITE 17",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871141087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 CORRALES BLVD NW",
            "address_2": "SUITE 17",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871141087",
            "telephone_number": "505-890-0868",
            "fax_number": "505-898-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A CENTER FOR FUNCTION AND CREATIVITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-06",
        "last_updated": "2011-04-06",
        "status": "A",
        "authorized_official_last_name": "HOBBS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "505-890-0868"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NM",
            "license": "75988721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "75988721",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.