Organization Active NPI

Adelante Development Center, Inc.

  • Assisted Living Facility
  • Albuquerque, NM
National Provider Identifier
1417528647
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ADELANTE DEVELOPMENT CENTER, INC.
Practice address
3609 Lafayette Dr NE
Albuquerque, NM 87107-4367
Phone
(505) 341-2000
Fax
(505) 341-2001
NPI assigned
Jul 8, 2021
Last updated
Jul 8, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
ADELANTE DEVELOPMENT CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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

Authorized official

Name
Rebecca Lynn Sanford
Title
President & Ceo
Phone
(505) 341-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

3609 Lafayette Dr NE
Albuquerque, NM 87107-4367

Mailing address

3900 Osuna Rd NE
Albuquerque, NM 87109-4459
Phone (505) 449-4039

Other identifiers 1

IdentifierTypeStateIssuer
4045OtherNMNM DEPT OF HEALTH ASSISTED LIVING & ADULT DAY CARE LICENSE

Other names 2

  • Adelante Ventana Other name
  • VENTANA Other name

National Provider Directory

National Provider Directory
Tax ID family
Adelante Development Center Inc3 organizations share this tax ID, including this one
Part of
Adelante Development Center Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625702400000",
    "number": "1417528647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 OSUNA RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094459",
            "telephone_number": "505-449-4039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3609 LAFAYETTE DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871074367",
            "telephone_number": "505-341-2000",
            "fax_number": "505-341-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADELANTE DEVELOPMENT CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADELANTE DEVELOPMENT CENTER INC",
        "enumeration_date": "2021-07-08",
        "last_updated": "2021-07-08",
        "certification_date": "2021-06-03",
        "status": "A",
        "authorized_official_last_name": "SANFORD",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "505-341-2000"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NM DEPT OF HEALTH ASSISTED LIVING & ADULT DAY CARE LICENSE",
            "identifier": "4045",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adelante Ventana",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "VENTANA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jul 8, 2021; 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.