Carefirst of NM Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

2292 Issued in NM

Legal business name

CAREFIRST OF NM INC

Doing business as

Willow Wood

Practice address

1008 Chiricahua CT SE
Albuquerque, NM 87123-5918

Phone

(505) 856-8553

Fax

(505) 213-0857

NPI assigned

Mar 25, 2016

Last updated

Mar 25, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Kaltenbach

Title

President

Phone

(505) 856-8553

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Willow Wood Doing business as

Tax ID family

Carefirst of NM Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Carefirst of NM Inc

  • Assisted Living Facility
  • Albuquerque, NM
  • NPI 1033578554
  NPD tax ID

Locations

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

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458864000000",
    "number": "1508228826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21114",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871541114",
            "telephone_number": "505-856-8553",
            "fax_number": "505-213-0857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 CHIRICAHUA CT SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871235918",
            "telephone_number": "505-856-8553",
            "fax_number": "505-213-0857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREFIRST OF NM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-25",
        "last_updated": "2016-03-25",
        "status": "A",
        "authorized_official_last_name": "KALTENBACH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-856-8553"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NM",
            "license": "2292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15682790",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willow Wood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Care Homes NM LLC (Ravenna Assisted Living)
• Care Planning Institute, Inc
• Care Planning Institute, Inc
• Care Point Billing LLC
• Carefirst of NM Inc
• Carefree Assisted Living (Carefree Living)
• Caregivers of Albuquerque Assisted Livings Homes LLC
• Caregivers of New Mexico LLC
• Caregivers Transportation Inc.
• Carelinks ABA NM LLC (Carelinks ABA)

• Assisted Living Facility in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Assisted Living Facility in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2016; 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.