Organization Active NPI

Open Hearts Supported Living

  • Health Maintenance Organization
  • Albuquerque, NM
National Provider Identifier
1417373689
Registry record updated Mar 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
OPEN HEARTS SUPPORTED LIVING
Practice address
10023 Calabacillas CT NW
Albuquerque, NM 87114-5825
Phone
(505) 897-7273
Fax
(505) 897-7273
NPI assigned
Mar 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2014

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

Authorized official

Name
Courtney Victoria Knutson-Jones, BA, PSYCHOLOGY
Title
President/ Director
Phone
(505) 897-7273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

10023 Calabacillas CT NW
Albuquerque, NM 87114-5825

Mailing address

10023 Calabacillas CT NW
Albuquerque, NM 87114-5825
Phone (505) 897-7273

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394582400000",
    "number": "1417373689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10023 CALABACILLAS CT NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145825",
            "telephone_number": "505-897-7273",
            "fax_number": "505-897-7273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10023 CALABACILLAS CT NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145825",
            "telephone_number": "505-897-7273",
            "fax_number": "505-897-7273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN HEARTS SUPPORTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-12",
        "last_updated": "2014-03-12",
        "status": "A",
        "authorized_official_last_name": "KNUTSON-JONES",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "VICTORIA",
        "authorized_official_title_or_position": "PRESIDENT/ DIRECTOR",
        "authorized_official_telephone_number": "505-897-7273",
        "authorized_official_credential": "BA, PSYCHOLOGY"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.