Organization Active NPI

Everlasting Assisted Living LLC

  • Assisted Living Facility
  • Las Cruces, NM
National Provider Identifier
1447487731
Registry record updated Jun 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
03164656005 Issued in NM
Legal business name
EVERLASTING ASSISTED LIVING LLC
Practice address
6485 Sexton LN
Las Cruces, NM 88012-6719
Phone
(575) 805-3394
NPI assigned
Jun 15, 2009
Last updated
Jun 15, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2009

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

Authorized official

Name
Ms. Jackie M Villegas
Title
Owner Manger
Phone
(575) 541-0551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 03164656005 NM Primary

Addresses

Primary practice location

6485 Sexton LN
Las Cruces, NM 88012-6719

Mailing address

145 W Willoughby Ave
Las Cruces, NM 88005-1822
Phone (575) 805-3394

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245024000000",
    "number": "1447487731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 W WILLOUGHBY AVE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880051822",
            "telephone_number": "575-805-3394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6485 SEXTON LN",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880126719",
            "telephone_number": "575-805-3394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERLASTING ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-15",
        "last_updated": "2009-06-15",
        "status": "A",
        "authorized_official_last_name": "VILLEGAS",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER MANGER",
        "authorized_official_telephone_number": "575-541-0551",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NM",
            "license": "03164656005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2009; 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.