Aurora Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

2206 Issued in NM

Legal business name

AURORA ASSISTED LIVING LLC

Practice address

8216 Peridot Ave SW
Albuquerque, NM 87121-8334

Phone

(505) 717-2472

Fax

(505) 717-2472

NPI assigned

Mar 30, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Custodio Fernandez, ADM

Title

Ceo Assisted

Phone

(505) 717-2472

Specialties & licenses 1

Addresses

Other names 1

• Aurora Assisted Living LLC Former legal business name

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393459200000",
    "number": "1417223751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8216 PERIDOT AVE SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871218334",
            "telephone_number": "505-717-2472",
            "fax_number": "505-503-7545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8216 PERIDOT AVE SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871218334",
            "telephone_number": "505-717-2472",
            "fax_number": "505-717-2472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-30",
        "last_updated": "2014-02-27",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "CUSTODIO",
        "authorized_official_title_or_position": "CEO ASSISTED",
        "authorized_official_telephone_number": "505-717-2472",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ADM"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NM",
            "license": "2206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aurora Assisted Living LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kaitlin Karin Aulie, PA-C
• Michelle Ault, LCSW
• Ryan Ault
• Shelly Marie Aultman, LBSW
• Emilia Anderson Aur, LPCC
• Aurora Counseling & Mental Health
• Aurora Counseling & Mental Health Services LLC
• Lucy Phillips Ausdran, PA-C
• Alexander Joseph Austin, CPSW
• Autumn Austin, MA

• 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 Feb 27, 2014; 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.