Active NPI
Adelante Development Center, Inc.
- Assisted Living Facility
- Albuquerque, NM
National Provider Identifier
1417528647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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, 2021
- Organization subpart
- Yes
- Parent organization
- ADELANTE DEVELOPMENT CENTER INC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4045 | Other | NM | NM DEPT OF HEALTH ASSISTED LIVING & ADULT DAY CARE LICENSE |
Other names 2
- Adelante Ventana
- VENTANA
National Provider Directory
National Provider Directory- Tax ID family
- Adelante Development Center Inc
- 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.
-
- Developmentally Disabled Services Day Training Agency
- Albuquerque, NM
- NPI 1447564315
-
- Personal Care Attendant
- Albuquerque, NM
- NPI 1578698197
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.