Organization Active NPI

Independent Living Resource Center

  • Personal Care Attendant
  • Albuquerque, NM
National Provider Identifier
1427440650
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
INDEPENDENT LIVING RESOURCE CENTER
Practice address
1720 Louisiana Blvd., NE
Suite 204
Albuquerque, NM 87110-7070
Phone
(505) 266-5022
Fax
(505) 266-0294
NPI assigned
Feb 25, 2015
Last updated
Jul 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Authorized official

Name
Ms. Gil Yildiz
Title
Executive Director
Phone
(505) 266-5022

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU
Personal Care Attendant 3747P1801X NU Primary

Addresses

Primary practice location

1720 Louisiana Blvd., NE
Suite 204
Albuquerque, NM 87110-7070

Mailing address

1720 Louisiana Blvd., NE
Suite 204
Albuquerque, NM 87110-7070
Phone (505) 266-5022

Other identifiers 1

IdentifierTypeStateIssuer
78905737MedicaidNM

National Provider Directory

National Provider Directory
Tax ID family
Independent Living Resource Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1720 Louisiana Blvd NE
Ste 204
Albuquerque, NM 87110
Phone (505) 266-5022

NPI Registry JSON

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

{
    "created_epoch": "1424822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1427440650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 LOUISIANA BLVD., NE",
            "address_2": "SUITE 204",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871107070",
            "telephone_number": "505-266-5022",
            "fax_number": "505-266-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 LOUISIANA BLVD., NE",
            "address_2": "SUITE 204",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871107070",
            "telephone_number": "505-266-5022",
            "fax_number": "505-266-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT LIVING RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-25",
        "last_updated": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "YILDIZ",
        "authorized_official_first_name": "GIL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "505-266-5022",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78905737",
            "state": "NM"
        }
    ],
    "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 Jul 25, 2024; 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.